Veral Vishnoi
John Hunter Hospital, Australia
Title: Small bowel obstruction from metastatic mesenteric/omental infiltration from a cutaneous squamous cell carcinoma: A rare presentation
Biography
Biography: Veral Vishnoi
Abstract
We present a 57-year-old male with known metastatic cutaneous squamous cell carcinoma (SCC) with an unknown primary presenting with a small bowel obstruction. Malignancies of the small bowel are rarely primary, but rather dominated by metastatic melanoma followed by metastatic adenocarcinoma from the pancreas, colon or stomach. Metastatic cutaneous SCC (although rare) travels to lymph nodes, brain, bone, lung and skin, very rarely to the gastrointestinal tract. Our patient had been on palliative chemotherapy when he presented with a one week history of nausea, progressing to faecalent vomiting, abdominal distension and obstipation. A computed tomography scan demonstrated significant stranding around the omentum and mesenteric fat with a small cystic mesenteric mass with a resultant small bowel obstruction. Given that patients advanced disease a conservative approach was taken with gastric decompression via a nasogastric tube and intravenous fluid resuscitation. A radiological guided fine needle aspiration of the mass was performed, confirming cutaneous SCC. To the best of our knowledge this is a very rare occurrence.