Metastatic Small Intestinal Tumor Presenting an Interesting Metastasis from Gastric Carcinoma

Yukitake Hasebe, Yasusige Nagasawa, Yousuke Shiokawa, Syunsuke Magosi, Yumiko Shibata, Teruhiko Minagawa, Shouji Nishida, Teruaki Takeyama, Tadahisa Ohgai and Tikako Hasegawa*

Department of Surgery, Kawasaki Social Insurance Hospital
Department of Pathology, Toho University Omori Medical Center*

We report a case of gastric carcinoma with a metastatic small intestinal tumor. A 61-year-old woman with abdominal pain, nausea, vomiting, and melena was admitted to Kawasaki Social Insurance Hospital. Gastroendscopy showed a type5 like lesion in the middle of the body of the stomach. Abdominal XP radiography and CT showed a small intestine dilated by gas. The histopathological diagnosis was poorly differentiated adenocarcinoma. Exploration revealed gastric carcinoma, two strictures in the terminal ileum, and thickening of the wall in another portion of the ileum. Distal gastrectomy and partial resection of small intestine were performed. The histopathological diagnosis examination of the terminal ileum lesion was adenocarcinoma with lymphatic invasion, similar to the histopathological findings of the gastric carcinoma. The patient died of peritonitis carcinomatosa one year eight months after the operation.

Key words
gastric carcinoma, metastatic intestinal tumor, intestinal obstruction

Reprint requests
Yukitake Hasebe Department of Surgery, Kawasaki Social Insurance Hospital
2-9-1 Tamachi, Kawasaki-ku, Kawasaki, 210-0822 JAPAN

Accepted
May 31, 2006

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