Jejunal perforation as initial metastatic manifestation of laryngeal carcinoma
Claros González, I.; Santonja Garriga, J.L.; Rubio Barbón, S.; Santamaría Girón, L.; Triviño López, A.; Velasco Alvarez, A.
Revista Espanola de Enfermedades Digestivas Organo Oficial de la Sociedad Espanola de Patologia Digestiva 85(1): 41-44
1994
ISSN/ISBN: 1130-0108 PMID: 8186002 Document Number: 426391
A case of acute abdominal pain due to jejunal perforation in a patient with dissemination of laryngeal carcinoma is presented. Six jejunal intramural nodes of squamous cell carcinoma, one of them perforated, were observed at laparotomy. At the same time, a lesion suspicious of local recurrence in the tracheostomy orifice was observed. The patient died in the postoperative period. The rarity of intestinal perforation as an initial manifestation of metastatical dissemination of a laryngeal squamous cell carcinoma as well as its poor prognosis are discussed. The hematogenous spread is proposed in our case. Finally the inclusion of metastases in the differential diagnosis in a clinical episode of intestinal perforation in patients with a history of neoplasm is emphasized.