Case Report
 
Metastatic squamous cell carcinoma of jejunum of unknown primary masquadering as superior mesentric artery syndrome: A case report
Harnam Singh1, Pankaj Shivhare2, Pankaj Dugg2, Sushil Mittal3, Ashwani Kumar4, Sona Goyal5
1MS, Assistant Professor, Department of Surgery, Govt. Medical College, Patiala, India.
2MS, Junior Resident, Department of Surgery, Govt. Medical College, Patiala, India.
3MS, Associate Professor, Department of Surgery, Govt. Medical College, Patiala, India.
4MS, Professor, Department of Surgery, Govt. Medical College, Patiala, India.
5MD, Junior Resident, Department of Pathology, Govt. Medical College, Patiala, India.

doi:10.5348/ijcri-2013-08-344-CR-3

Address correspondence to:
Dr. Pankaj Dugg
Deptt. of Surgery, Govt. Medical College/Rajindra Hospital
Patiala
Punjab
India-147001
Phone: +919417388800
Fax: 911812651306
Email: pankajdugg84@gmail.com

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How to cite this article:
Singh H, Shivhare P, Dugg P, Mittal S, Kumar A, Goyal S. Metastatic squamous cell carcinoma of jejunum of unknown primary masquadering as superior mesentric artery syndrome: A case report. International Journal of Case Reports and Images 2013;4(8):411–414.


Abstract
Introduction: Metastatic squamous cell carcinoma of proximal jejunum is rare presentation, in which the diagnosis is made only after biopsy. A rare case of metastatic squamous cell carcinoma of jejunum with unknown primary is reported here.
Case Report: A 75-year-old female was presented with recurrent episodes of nausea and vomiting. On the basis of radiological investigation, diagnosis of superior mesenteric artery syndrome was made. On exploration growth was present in proximal jejunum. Resection of the growth with adequate margins and primary anastomosis was done. Histopathology showed metastatic squamous cell carcinoma. Whole body positron emission tomography scan shows no evidence of primary.
Conclusion: Jejunum is rare site for squamous cell carcinoma of metastatic origin of unknown primary and can be confirmed only on biopsy.

Keywords: Squamous cell carcinoma, Intestinal obstruction, Superior mesenteric artery (SMA) syndrome


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Author Contributions
Harnam Singh – Substantial contribution to conception and design, Revising it critically for important intellectual content, Final approval of the version to be published
Pankaj Shivhare – Substantial contribution to conception and design, Acquisition of data, analysis and interpretation of data, Drafting the article, Final approval of the version to be published
Pankaj Dugg – Acquisition of data, analysis and interpretation of data, Drafting the article, Final approval of the version to be published
Sushil Mittal – Substantial contribution to conception and design, Revising it critically for important intellectual content, Final approval of the version to be published
Ashwani Kumar – Analysis and interpretation of data, Revising it critically for important intellectual content, Final approval of the version to be published
Sona Goyal – Acquisition of data, Revising it critically for important intellectual content, Final approval of the version to be published
Guarantor of submission
The corresponding author is the guarantor of submission.
Source of support
None
Conflict of interest
Authors declare no conflict of interest.
Copyright
© Harnam Singh et al. 2013; This article is distributed the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any means provided the original authors and original publisher are properly credited. (Please see Copyright Policy for more information.)