A Case of Small Bowel Metastasis from Gastric Cancer with Intestinal Obstruction

Hiroshi Yajima, Akira Kusuyama, Tetsuji Fujita, Sadao Anazawa, Katsuhiko Yanaga and Hiroyuki Kato*

Departments of Surgery and Pathology*, The Jikei University School of Medicine

A 69-year-old man admitted for intestinal obstruction was found in abdominal X-ray to have a dilated small bowel. A Gastrografin study through an ileus tube and abdominal CT failed to demonstrate the lesion responsible for the obstruction. Gastric cancer was found by preoperative gastroendoscopy, and laparotomy conducted. We found a solitary circular tumor in the ileum. In addition to total gastrectomy, we conducted partial resection of the small bowel. The tumor of the ileum was pathologically diagnosed as metastatic small bowel cancer of gastric origin.

Key words
small bowel metastasis, gastric cancer, intestinal obstruction

Reprint requests
Hiroshi Yajima Department of Surgery, The Jikei University School of Medicine
4-11-1 Izumihon-cho, Komae, 201-8601 JAPAN

Accepted
September 22, 2004

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