The online version of this article (doi:10.1186/1477-7819-10-26) contains supplementary material, which is available to authorized users.
The authors declare that they have no competing interests.
YM S wrote the manuscript. YM S, KF D and SY T performed surgery. Y Y carried out the pathological examination. Y Y and XF F was involved in the final editing. Y Y, MD L, XX Y, JZ S carried out chemothreapy. All authors approved the final manuscript
We present one case with symptom of paroxysmal abdominal pain for over 20 days. Abdominal computerized tomography (CT) scan revealed intestinal obstruction and a mass of 6.0 cm × 6.0 cm in size located at the left adrenal. Chest CT scan showed a lobulated mass of 2.7 cm × 2.7 cm in size at the upper left lung. Core needle biopsy of the lung mass confirmed the diagnosis of large cell carcinoma. The patient underwent an emergency abdominal laparotomy and received a chemotherapy regimen that consisted of pemetrexed and cisplatin postoperatively. In addition, we made a review of the literature of the occurrence, diagnosis and outcome of this manifestation.
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- Acute small bowel obstruction: a rare initial presentation for the metastasis of the large-cell carcinoma of the lung
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