Published September 18, 2020 | Version v1

A Rare Case of Peritoneal Carcinomatosis Leading to Bowel Obstruction Due to Metastatic Lung Cancer

  • 1. Saint James School of Medicine, 3321 Conservation Drive, Windsor ON N8W 5P2, CANADA, Tel:810-986-3063
  • 2. Avalon University School of Medicine, 122 - 124 Santa Rosaweg, Curacao
  • 3. Windsor University School of Medicine, P.O.Box 1621 Brighton's Estate, Cayon St. Kitts, Cayon, St Kitts & Nevis
  • 4. Saint James School of Medicine, Cane Hall Road, Arnos Vale, St. Vincent & Grenadines
  • 5. Liberty University College of Osteopathic Medicine, 306 Liberty View Ln, Lynchburg, VA 24502, United States
  • 6. Chairman of Surgery & President of Medical Staff, Director of Minimally Invasive and Robotic Surgery; West Suburban Hospital, 3 Erie St, Oak Park, IL 60302, United States

Description

Abstract

In this report, we present a rare case of a 52-year-old male patient with a history of smoking who presented to the emergency room with acute abdominal pain and vomiting. The patient was diagnosed with non-small cell lung cancer (NSCLC) one month prior. Abdominal computerized tomography (CT) scan showed peritoneal carcinomatosis with severe small bowel obstruction (SBO). During an emergent exploratory laparotomy, biopsy samples were taken and a proximal diverting loop ileostomy was performed as a palliative care measure. This case highlights the need to be cognizant about the metastasis of primary lung cancer to the peritoneum leading to small bowel obstruction, and how to achieve palliative care.

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