title: Acute small bowel obstruction: a rare initial presentation for the metastasis of the large-cell carcinoma of the lung.
abstract: We present one case with symptom of paroxysmal abdominal pain for over 20 days. Abdominal computerized tomography (CT) scan revealed intestinal obstruction and a mass of 6.0 cm × 6.0 cm in size located at the left adrenal. Chest CT scan showed a lobulated mass of 2.7 cm × 2.7 cm in size at the upper left lung. Core needle biopsy of the lung mass confirmed the diagnosis of large cell carcinoma. The patient underwent an emergency abdominal laparotomy and received a chemotherapy regimen that consisted of pemetrexed and cisplatin postoperatively. In addition, we made a review of the literature of the occurrence, diagnosis and outcome of this manifestation.
authors.affiliation: Department of Surgical Oncology, the 2nd Hospital of Zhejiang University College of Medicine, Hangzhou, Zhejiang, 310009, PR China.
authors.forename: Yongmao
authors.initials: Y
authors.lastname: Song
authors.forename: Modan
authors.initials: M
authors.lastname: Li
authors.forename: Jianzhen
authors.initials: J
authors.lastname: Shan
authors.forename: Xiaoxian
authors.initials: X
authors.lastname: Ye
authors.forename: Shangyi
authors.initials: S
authors.lastname: Tang
authors.forename: Xuefeng
authors.initials: X
authors.lastname: Fang
authors.forename: Kefeng
authors.initials: K
authors.lastname: Ding
authors.forename: Ying
authors.initials: Y
authors.lastname: Yuan
mesh_terms: D000971:Antineoplastic Combined Chemotherapy Protocols / Q000627:therapeutic use; D018287:Carcinoma, Large Cell / Q000150:complications / Q000556:secondary* / Q000628:therapy; D002945:Cisplatin / Q000008:administration & dosage; D005971:Glutamates / Q000008:administration & dosage; D006147:Guanine / Q000008:administration & dosage / Q000031:analogs & derivatives; D006801:Humans; D007415:Intestinal Obstruction / Q000209:etiology*; D007813:Laparotomy; D008175:Lung Neoplasms / Q000188:drug therapy / Q000473:pathology* / Q000601:surgery; D008297:Male; D008875:Middle Aged; D000068437:Pemetrexed; D011379:Prognosis; D014057:Tomography, X-Ray Computed
chemical_list: D005971:Glutamates; D000068437:Pemetrexed; D006147:Guanine; D002945:Cisplatin