title: A rare case of intussusception associated with metastasized small cell carcinoma of lung.
abstract: Intussusception is common cause of bowel obstruction in the paediatric age group compared to the elderly population. Many times, the diagnosis may be difficult because of asymptomatic nature of this bowel disorder. We hereby describe the case of a 75-year-old male who presented with lethargy, weakness, loss of movement in the joints and was found to be anemic. The haemoglobin level was low so he was transfused with packed cells. On gastrointestinal (GI) endoscopy, upper GI bleed was observed. A mass was observed beyond ampulla at the 2nd and 3rd part of the duodenal junction. Computerized tomography (CT) scan also showed a mass at the head of pancreas and the lesion at the left lung. In view of persistent bleed, 'Whipple's procedure' was performed. Histopathological examination showed small cell carcinoma of the lungs with metastasis to the pancreas and the jejunum. We here discuss the case of intussusception with intestinal metastasis which presented with gastrointestinal bleeding.
authors.affiliation: Department of Surgery Medicine, Faculty of Medicine, Universiti Kebangsaan Malaysia Medical Centre,Bandar Tun Razak, Cheras, Kuala Lumpur, Malaysia. razman@ppukm.ukm.edu.my
authors.forename: Razman
authors.initials: R
authors.lastname: Jarmin
authors.forename: Azlanuddin
authors.initials: A
authors.lastname: Azman
authors.forename: Razrim
authors.initials: R
authors.lastname: Rahim
authors.forename: Nik Ritza
authors.initials: NR
authors.lastname: Kosai
authors.forename: Srijit
authors.initials: S
authors.lastname: Das
mesh_terms: D000368:Aged; D018288:Carcinoma, Small Cell / Q000150:complications* / Q000000981:diagnostic imaging / Q000556:secondary / Q000601:surgery; D006471:Gastrointestinal Hemorrhage / Q000150:complications / Q000209:etiology* / Q000601:surgery; D006801:Humans; D007443:Intussusception / Q000000981:diagnostic imaging / Q000209:etiology* / Q000601:surgery; D007579:Jejunal Diseases / Q000000981:diagnostic imaging / Q000209:etiology / Q000601:surgery; D007580:Jejunal Neoplasms / Q000150:complications* / Q000000981:diagnostic imaging / Q000556:secondary / Q000601:surgery; D008175:Lung Neoplasms / Q000150:complications* / Q000000981:diagnostic imaging / Q000473:pathology / Q000601:surgery; D008297:Male; D009367:Neoplasm Staging; D010190:Pancreatic Neoplasms / Q000150:complications* / Q000000981:diagnostic imaging / Q000556:secondary / Q000601:surgery; D016577:Pancreaticoduodenectomy / Q000379:methods; D035583:Rare Diseases; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome