Abstract
A 59-year-old man who underwent hypopharyngolaryngectomy, esophagectomy, and gastric tube reconstruction for hypopharyngeal carcinoma (well differentiated squamous cell carcinoma) in 2005 developed vomiting and abdominal pain from October 2006. He was admitted to our hospital with a diagnosis of adhesive intestinal obstruction. Conservative therapy was unsuccessful and an emergency operation was performed. Three tumorous lesions were found in the ileum, and partial small bowel resection was performed with the diagnosis of intestinal obstruction caused by these small bowel tumors. Histopathology revealed squamous cell carcinoma. Intestinal obstruction due to small bowel metastasis from hypopharyngeal carcinoma was thus diagnosed. As we have experienced a case of metastatic small bowel tumors originated from hypopharyngeal carcinoma which is extremely rare, this case is presented here, with a review of the literature.
