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Abstract
Cervical cancer metastasis to the small intestine is a rare occurrence that is easily misdiagnosed as a small bowel obstruction. The present study reports the case of a 46-year-old cervical cancer patient with metastasis to the small intestine, which presented as an acute abdomen due to intestinal obstruction. Enteroscopy revealed no primary intestinal tumors. The patient underwent exploratory laparotomy and resection of the tumor of the small intestine. Pathology revealed the mass to be squamous cell carcinoma, limited to the outer muscular layer and serosa. This case demonstrates that small intestine seeding must be considered in the differential diagnosis of acute abdomen in patients with cervical cancer.
Highlights
Cervical cancer has been established as the second most common cancer among females worldwide [1,2]
The present study presents and discusses a case of cervical cancer with symptomatic small intestine metastasis
Treatment with concurrent chemoradiotherapy has prolonged the survival of patients with cervical carcinoma [13,14,15]
Summary
The abdominal X‐ray revealed multiple liquid‐gas surfaces, QIU et al: SMALL INTESTINE METASTASIS FROM CERVICAL CANCER. The patient was subsequently diagnosed with lower intestinal obstruction and cervical cancer following chemoradiotherapy. The mechanical bowel obstruction was proposed to have been caused by an advanced complication following pelvic radiotherapy, or a small intestine primary or metastatic tumor. Magnetic resonance imaging of the pelvic cavity showed the change in cervical cancer following chemoradiotherapy, pelvic effusion and lower intestinal obstruction (Fig. 3). A computed tomography (CT) scan of the abdomen revealed cervical cancer following chemoradiotherapy and lower intestinal obstruction (Fig. 4). As the effect of conservative treatment was not satisfactory, with gradually worsening abdominal pain, the patient was transferred to the department of general surgery. A final diagnosis of cervical cancer with small intestine metastases was determined.
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