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Updated: Jun 26, 2026

Three-dimensional Location Approach with Silk Thread Guided Laparoscopic Segmentectomy for Liver Tumor
Published on: May 23, 2025
[Lung tumor with ileal metastasis, causing acute abdomen]
Zoltán Papp1, Gyula Takács, István Petri
1Dr. Bugyi István Kórház Szentes, Sebészeti Osztály Szentes, Sima F. u. 44-58. 6600. pappzoltandr@index.hu
A perforated ileal tumor, a rare metastasis from lung carcinoma, caused acute abdomen in a 47-year-old male. This case highlights the importance of considering metastatic disease in acute abdominal presentations.
Area of Science:
- Oncology
- Gastroenterology
- Surgical Pathology
Background:
- A 47-year-old male presented with acute abdomen of unknown origin.
- The patient had recently undergone surgery for a right upper quadrant lung tumor.
Observation:
- Emergency laparotomy revealed a perforated ileal tumor with peritonitis.
- Bowel resection was performed due to the acute condition.
Findings:
- Histological examination confirmed a pleomorphic sarcomatous carcinoma metastasis to the ileum.
- The perforation of the ileal metastasis was histologically verified.
Implications:
- This case underscores the potential for lung carcinoma to metastasize to the ileum, presenting as an acute abdomen.
- Early recognition and management of ileal metastases are crucial for patient outcomes.
- The study discusses the frequency and clinical presentation of ileal metastases from lung cancer.
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