A Case of Small Intestinal Metastasis from Esophageal Squamous Cell Carcinoma Occurring as Small Bowel Obstruction

Junji Akagi, Eiji Takai, Tomohiro Iwanaga, Toshihide Mitsuno and Ryoichi Kurano*

Department of Surgery, National Hospital Organization Kumamoto Minami Hospital
Department of Pathology, Kumamoto Medical Association Medical Center*

A 66-year-old woman undergoing esophageal resection on September 16, 2003, was pathohistologically diagnosed with esophageal carcinoma, moderately differentiated squamous cell carcinoma (SCC) pAd n2 M0 stage III. From July 2004, she suffered nausea and vomiting and abdominal X-ray examination showed a dilated small intestinal loop with air and fluid level (ileus), necessitating that she be admitted on August, 2004. Examination including radiography of the small bowel and abdominal CT suggested stenosis of the ileum, so we conducted surgery on September, 2004. The tumor-like lesion located on the 70-cm oral side from the ileum was pathohistologically diagnosed as metastasized esophageal carcinoma.

Key words
intestinal metastasis, esophageal carcinoma, ileus

Reprint requests
Junji Akagi Department of Surgery, National Hospital Organization Kumamoto Minami Hospital
2338 Toyofuku, Matsubase-machi, Uki, 869-0593 JAPAN

Accepted
May 25, 2005

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