Nihon Rinsho Geka Gakkai Zasshi (Journal of Japan Surgical Association)
Online ISSN : 1882-5133
Print ISSN : 1345-2843
ISSN-L : 1345-2843
Case Reports
Intestinal Metastasis of Malignant Peripheral Nerve Sheath Tumor Presenting with Bowel Intussusception
Muneyuki MATSUMURATomohiro NARITAYutaka MIZUNOMichitaka OKAMOTO
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2015 Volume 76 Issue 4 Pages 793-796

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Abstract
A 64-year-old man diagnosed with malignant peripheral nerve sheath tumor (MPNST) underwent tumor resection of his left thoracic wall 11 years prior to the study. He had no history of von Recklinghausen disease. Six months before admission, the patient developed a local recurrence and underwent tumor resection, but multiple lung metastases were found 6 months postoperatively. He presented at our hospital with abdominal bloating. Enhanced computed tomography revealed an obstruction of the small bowel with intussusception. We suspected an intestinal metastasis of MPNST, and surgery was performed. We performed the Hutchinson maneuver and reposited the intussusception, followed by tumor resection. The tumor was diagnosed as MPNST. We report a patient with MPNST presenting with bowel intussusception developing 11 years after the initial treatment.
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© 2015 Japan Surgical Association
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