腹膜播種により腸閉塞をきたした進行肺癌の１例

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  • A Case of Bowel Obstruction due to Peritoneal Dissemination of Lung Cancer Treated by Surgery

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A 57-year-old man who had lung cancer admitted to our hospital with chief complaints of abdominal fullness and vomiting. He was diagnosed as intestinal obstruction in the splenic flexure of colon. He underwent the operation of laparoscopic colostomy so that the dietary intake might become possible. On 4 days after the surgery, he suffered from peritonitis because of a perforated duodenal ulcer, and the second surgery, was undergone. In the surgery, partial colon containing the severe adhesion area to stomach and the obstructive area was also resected together with the perforated gastroduodenum. The intestinal obstruction was diagnosed as the peritoneal dissemination of lung cancer by surgical and histopathological findings. It went well the postoperative course, except for surgical site infection, and he was discharged on 22 days after the second surgery. There are no reports about the intestinal obstruction by the peritoneal dissemination of lung cancer in Japan. So, we describe this case and review the relevant literature.

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