Case présentation:
61-year-old male presented to our emergency department with a complaint
of a 3 days duration of lower abdominal pain, which had gradually
migrated to epigastric area, vomiting and constipation. Notably, he had
a past medical history of epidermoid lung cancer , diagnosed 1 year
prior. He was thought to be in remission following chemotherapy .Upon
hospital admission, he underwent computed tomography (CT) of the abdomen
and pelvis with contrast. Images revealed distended stomach with mural
bowel thickening (fig1A- 1B),. Middle-incision laparotomy surgery with
partial resection of the small intestine was performed The tumor had
invaded 2 parts of the small intestine (fig2A/2B). Pathology confirmed
the diagnosis of small bowel metastasis from primary lung epidermoid
carcinoma. It is a rare metastatic localisation of lung cancer that we
should think in case of bowel occlusion.