Liu H, Cheng YJ, Chen HP, Hwang JC, Chang PC. Multiple bowel intussusceptions from metastatic localized malignant pleural mesothelioma: A case report. World J Gastroenterol 2010; 16(31): 3984-3986 [PMID: 20712062 DOI: 10.3748/wjg.v16.i31.3984]
Corresponding Author of This Article
Po-Chin Chang, MD, Division of Thoracic Surgery, Department of Surgery, E-DA Hospital/I-Shou University, 1, Yi-Da Road, Jiau-shu Tsuen, Yan-chau Shiang, Kaohsiung County, 824, Taiwan, China. dyno910076@hotmail.com
Article-Type of This Article
Case Report
Open-Access Policy of This Article
This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
Hsien Liu, Division of General Surgery, Department of Surgery, E-DA Hospital/I-Shou University, Kaohsiung County, 824, Taiwan, China
Yu-Jen Cheng, Po-Chih Chang, Division of Thoracic Surgery, Department of Surgery, E-DA Hospital/I-Shou University, Kaohsiung County, 824, Taiwan, China
Hsin-Pao Chen, Division of Colon and Rectal Surgery, Department of Surgery, E-DA Hospital/I-Shou University, Kaohsiung County, 824, Taiwan, China
Jau-Chung Hwang, Department of Pathology, E-DA Hospital/I-Shou University, Kaohsiung County, 824, Taiwan, China
Author contributions: Liu H, Cheng YJ, Chen HP and Hwang JC contributed equally to this work; Chang PC collected the clinical data and wrote this article.
Correspondence to: Po-Chin Chang, MD, Division of Thoracic Surgery, Department of Surgery, E-DA Hospital/I-Shou University, 1, Yi-Da Road, Jiau-shu Tsuen, Yan-chau Shiang, Kaohsiung County, 824, Taiwan, China. dyno910076@hotmail.com
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Received: April 14, 2010 Revised: May 20, 2010 Accepted: May 27, 2010 Published online: August 21, 2010
Abstract
Localized malignant pleural mesothelioma (LMPM) is a rare occurrence, and gastrointestinal intra-luminal metastases have not previously been reported. Herein, we report a patient with LMPM who presented with a local recurrence 10 mo after initial en bloc surgical resection. Abdominal computed tomography was performed for intractable, vague abdominal pain with episodic vomiting, which showed a “target sign” over the left lower quadrant. Laparotomy revealed several intra-luminal metastatic tumors in the small intestine and colon and a segmental resection of metastatic lesions was performed. Unfortunately, the patient died of sepsis despite successful surgical intervention. Though local recurrence is more frequent in LMPM, the possibility of distant metastasis should not be ignored in patients with non-specific abdominal pain.
