Jurnalul de Chirurgie
 Jurnalul de chirurgie
Aparitie trimestriala in a doua luna a trimestrului
Published quarterly in the second month of the quarter
ISSN: 1584 - 9341 Vol.10 Nr.3 - Iulie-Septembrie 2014 | luni, 21 ianuarie 2019
ISSN: 1584 - 9341 Vol.10 No.3 - July-September 2014
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SMALL BOWEL - A RARE METASTASIS FROM OVARIAN CANCER
Maria-Gabriela Roşca (1), D.C. Mariciuc (1), I. Radu (1), D. Ferariu (2), V. Scripcariu (1)
(1) Clinica a III-a Chirurgie, Centrul de Cercetare în Chirurgie Oncologică şi Training în Chirurgie Generală, Universitatea de Medicină şi Farmacie „Gr.T. Popa” Iaşi
(2) Laboratorul de anatomie patologica, Spitalul „Sf. Spiridon Iaşi
Jurnalul de chirurgie 2009; 5 (2): 176-181
Full text:
Format PDF (Română/Romanian)

Abstract:

Small bowel obstruction in an oncology patient is a common and serios medical problem, associated with diagnostic and therapeutic dilemmas. We report a case of small bowel obstruction caused by a metastatic tumor secondary to bilateral recurrent ovarian cancer. The clinical diagnosis is difficult because of lack of specific signs and simptoms. The computed tomography becomes essential in the preoperative diagnostic. The treatment has two targets: to solve the obstruction and to control the metastatic desease. The case is particular because of the presence of a jejuno-colic intratumoral fistula. The anatomopathological examination reveals the character of metastatic tumor secondary to ovarian cancer. Good general status, with no severe comorbidities and the significant response to anti-cancer chemotherapy, make a good prognosis after radical resection of the metastasis. The posibility of a metastasis in the bowel wall as a potential cause of an obstruction requires a high level of suspipicion and sould be considered as a differential diagnosis in any patient with a history of cancer.

KEY WORDS: METASTASIS, SMALL BOWEL, OVARIAN CANCER

Correspondence to: Viorel Scripcariu, MD, PhD, Professor of Surgery, Thrid Surgical Unit, „St. Spiridon Hospital Iaşi, 700111, Bd. Independenţei, No. 1 Iaşi, Romania; e-mail:



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Jurnalul de chirurgie [Journal of Surgery] by Editorial Board, Department of Surgery University of Medicine and Pharmacy Iasi, E. Tarcoveanu, R. Moldovanu is licensed under a Creative Commons Attribution-NonCommercial-NoDerivs 3.0 Unported License.
Based on a work at www.jurnaluldechirurgie.ro.