Case Report
Copyright ©2010 Baishideng. All rights reserved.
World J Gastroenterol. Aug 21, 2010; 16(31): 3984-3986
Published online Aug 21, 2010. doi: 10.3748/wjg.v16.i31.3984
Multiple bowel intussusceptions from metastatic localized malignant pleural mesothelioma: A case report
Hsien Liu, Yu-Jen Cheng, Hsin-Pao Chen, Jau-Chung Hwang, Po-Chih Chang
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
Telephone: +886-7-6150011 Fax: +886-7-6155352
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.

Keywords: Localized malignant pleural mesothelioma; Intussusception; Distant metastasis