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World J Surg Oncol. 2012 Jan 29;10:26. doi: 10.1186/1477-7819-10-26.

Acute small bowel obstruction: a rare initial presentation for the metastasis of the large-cell carcinoma of the lung.

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  • 1Department of Surgical Oncology, the 2nd Hospital of Zhejiang University College of Medicine, Hangzhou, Zhejiang, 310009, PR China.


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.

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