LAPAROSCOPIC SURGERY FOR THE MANAGEMENT OF METIASTATIC ESOPIIIAGEAL CARCINOMA OCCURRING AS SMMALL BOWEL OBSTRUCTION:REPORT OF A CASE

Abstract

Small bowel is rarely involved with metastatic tumors from outside the abdomen, espedally esophagus. We report a 62-year-old man who underwent laparoscopic surgery for theman-agement of small bowel obstruction due to metastatic disease from an esophageal carcinorna. The patient was effectively treated with chemotherapy and radiotherapy for anadvanced carcinoma invading to the aorta and trachea. Three months Iater, small bowelobstruction developed and subsequent laparoscopic resection of a part of small bowel loop thatdisclosed metastatic carcinoma of the esophagus. It resolved his obstruction signs and symptoms. Minimally invasive laparoscopic surgery in this case, could be an alternative to opensurgery.