Abstract Metastatic invasion of the small bowel by blood-borne metastasis from distant malignant growths occurs rarely.1,13 These may manifest themselves by intestinal obstruction either with or without intussusception. The following case report of a metastatic osteogenic sarcoma causing a small bowel polyp with intussusception and intestinal obstruction is, as far as we can tell from a review of the literature as far back as 1900, the only such case reported. Report of a Case A 38-year-old grade school principal was admitted to Michael Reese Hospital for the first time on Sept. 9, 1960, with a chief complaint of persistent vomiting for 8 hours prior to admission.Twenty-two months before the present admission, he had had a mid-thigh amputation for osteogenic sarcoma of the left femur. Six thousand roentgens of radiation by the linear accelerator were given to a solitary metastasis in the left upper lobe of the lung over a References 1. Bernstein, J. S., and Chey, W. Y. C.: Small Bowel Tumors , J. Mount Sinai Hosp. N.Y. 25:1-28, 1958. 2. Case, T. C.: Ileoileal Intussusception of a Solitary Metastatic Tumor of the Ileum , New York J. Med. 58:2280-2282, 1958. 3. Chance, B.: A Case of Secondary Hypernephroma of the Iris and Ciliary Body , J.A.M.A. 48:475, 1907.Crossref 4. Collins, P. G., and Dodge, O. G.: Recurrent Intussusception in an Adult Due to Intestinal Metastases of a Breast Sarcoma , Brit. J. Surg. 47:37-42, 1959.Crossref 5. DeCastro, C. A.; Dockerty, M. B., and Mayo, C. W.: Metastatic Tumors of the Small Intestines , Surg. Gynec. Obstet. 105:159-165, 1957. 6. DeJode, L. R.: A Case of Metastatic Carcinoma of the Ileo-Cecal Valve Presenting as a Primary Growth , Brit. J. Surg. 47:505-506, 1959.Crossref 7. Donhauser, J. L., and Kelly, E. D.: Intussusception in the Adult , Amer. J. Surg. 79:673, 1960.Crossref 8. Estrade, J.: Deux Tumeurs secondaires sténosantes du grêle , Bull. Ass. Franc. Cancer 42:498-503, 1955. 9. Oldfield, M. C., and Wilson, G.: Jejunojejunal Intussusception from Secondary Fibrosarcoma , Brit. J. Surg. 47:99-100, 1959.Crossref 10. Saphir, O.: Metastatic Melanoma of the Jejunum , Arch. Path. Lab. Med. 4:22-25, 1927. 11. Starr, A., and Miller, J. M.: Solitary Jejunal Metastasis 20 Years After Removal of a Renal Cell Carcinoma , New Engl. J. Med. 246:250-252, 1952.Crossref 12. Wilbur, D. L., and Hartman, H. R.: Malignant Melanoma with Delayed Metastatic Growths , Ann. Intern. Med. 5:201, 1931.Crossref 13. Willis, R. A.: The Spread of Tumors in the Human Body , St. Louis, C. V. Mosby Company, 1952, pp. 210-216.
Archives of Surgery – American Medical Association
Published: Feb 1, 1963
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