Abstract
A 79-year-old female patient underwent breast-conservation surgery following a diagnosis of right breast cancer in July 2007. In November 2008, the patient presented at our hospital with acute onset of lower abdominal pain. She was diagnosed with panperitonitis due to gastrointestinal perforation, and underwent an emergency operation. At the time of the operation, one site of free perforation was found in the small intestine, and a 2–3-cm nodule was found in the 50-cm anal side from the site of this perforation. Multiple metastases to the para-aortic lymph nodes and mesenteric lymph nodes were also found. The patient recovered without complications and was discharged from the hospital, but 3 months after surgery she succumbed due to multiple liver metastases. It is important to identify metastatic intestinal tumors in patients who have breast cancer.
Article PDF
Similar content being viewed by others
Avoid common mistakes on your manuscript.
References
Asch MJ, Wiedel PD, Habif DV. Gastrointestinal metastases from carcinoma of the breast: autopsy study and 18 cases requiring operative intervention. Arch Surg 1968;96:840–843.
Cifuentes N, Pickren JW. Metastates from carcinoma of mammary gland, an autopsy study. J Surg Oncol 1979;11:193–205.
McLemore EC, Pokaj BA, Reynolds C, Gray RJ, Hernandez JL, Grant CS, et al. Breast cancer: presentation and intervention in women with gastrointestinal metastasis carcinomatosis. Ann Surg Oncol 2005;12(11):886–94.
Yamada Y, Kato Y, Nakamura R, Asanuma F, Saito M, Morinaga S. Small-bowel perforation due to metastatic breast carcinoma developing during chemotherapy (in Japanese with English abstract). J Jpn Surg Assoc 2008;69(6):1403–1407.
Hata K, Kitajima J, Shinozuka M, Komuro Y, Watanabe T, Takano T, et al. Intestinal perforation due to metastasis of breast carcinoma, with special reference to chemotherapy: a case report. Jpn J Clin Oncol 2001;31(4):162–164.
Seewaldt VL, Greer BE, Cain JM, Figge DC, Tamimi HK, Brown WS, et al. Bowel complications with taxol therapy. J Clin Oncol 1993;11(6):1198.
Cornu-Labat G, Ghani A, Smith DJ, McDonald AD, Kasirajan K. Small-bowel perforation secondary to metastatic carcinoma of the breast. Am Surg 1998;64:31.
Author information
Authors and Affiliations
Rights and permissions
About this article
Cite this article
Kawasaki, A., Mimatsu, K., Oida, T. et al. Small intestinal perforation due to metastasis of breast carcinoma: Report of a case. Surg Today 41, 698–700 (2011). https://doi.org/10.1007/s00595-010-4345-6
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s00595-010-4345-6