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Perforation of Jejunal Metastasis from Primary Lung Carcinoma with Brain Metastasis: A Rare Case

Ankur D Modi1, Chintan Godhani2, Trupal Desai3

  • 1Assistant Professor, Department of General Surgery, C U Shah Medical College & Hospital, Surendranagar, Gujarat, India, Corresponding Author.

The Journal of the Association of Physicians of India
|June 17, 2024
PubMed

Insights

A rare case of jejunal tumor perforation, a metastasis from lung cancer, led to emergency surgery. This condition, linked to brain metastasis, highlights unusual cancer spread patterns.

Area of Science:

  • Gastroenterology
  • Oncology
  • Pathology

Background:

  • Small intestinal perforation is a critical surgical emergency.
  • Metastatic disease to the gastrointestinal tract is uncommon.
  • Lung carcinoma rarely metastasizes to the jejunum.

Observation:

  • A 49-year-old male presented with peritonitis due to jejunal tumor perforation.
  • Emergency laparotomy revealed a perforated jejunal tumor.
  • Histopathology confirmed metastasis from a clear cell variant of lung carcinoma.

Findings:

  • The jejunal tumor was a metastasis from a lung clear cell carcinoma.
  • The patient also had associated brain metastatic lesions.
  • This represents a rare instance of lung cancer metastasis causing jejunal perforation.

Implications:

  • Highlights the diagnostic challenge of unusual metastatic sites.
  • Underscores the importance of thorough histopathological examination.
  • Contributes to understanding rare gastrointestinal manifestations of lung cancer.

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