Malignant small bowel obstruction - metastasis

Case contributed by Michael P Hartung
Diagnosis almost certain

Presentation

Abdominal pain, nausea, vomiting.

Patient Data

Gender: Male

Dilation of the mid through distal jejunum with the transition point in the pelvis. The transition point has faecalized contents leading into an irregular, circumferential mass. The remainder of the bowel is decompressed. 

Case Discussion

This patient had a known diagnosis of lung cancer and presented with a small bowel obstruction due to small bowel metastasis, which had an overlapping appearance of a small bowel adenocarcinoma. This diagnosis with confirmed at the time of surgery, which was required to relieve the obstruction. The appearance of the small bowel at first glance overlaps with a closed-loop as it courses through the abdomen, but only one single transition point is present. 

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