Case Report
Copyright ©The Author(s) 2025. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Clin Cases. Apr 26, 2025; 13(12): 100045
Published online Apr 26, 2025. doi: 10.12998/wjcc.v13.i12.100045
Gastrointestinal bleeding due to small bowel metastasis from lung adenocarcinoma: A case report
Tian-Yuan Yuan, Ying-Xin Chen, Yan-Ge Zhao, Bing Wang, Shao-Xuan Wang
Tian-Yuan Yuan, Yan-Ge Zhao, Bing Wang, Department of Gastroenterology, Jining Medical University, Jining 272067, Shandong Province, China
Ying-Xin Chen, Department of Gastroenterology, Shandong First Medical University, Jinan 250000, Shandong Province, China
Shao-Xuan Wang, Department of Gastroenterology, The First People's Hospital of Jining, Jining 272111, Shandong Province, China
Co-first authors: Tian-Yuan Yuan and Ying-Xin Chen.
Author contributions: Yuan TY and Chen YX contribute equally to this study as co-first authors; Yuan TY was responsible for main writing of the article; Chen YX was responsible for collection and organization of patient information; Zhao YG was responsible for complete integration and processing of images; Wang B was responsible for collection and organization of patient information; Wang SX was responsible for finalization and revision of the final manuscript.
Informed consent statement: Informed consent for surgical treatment was obtained from the patient.
Conflict-of-interest statement: All authors have no conflict of interest.
CARE Checklist (2016) statement: The authors have read the CARE Checklist (2016), and the manuscript was prepared and revised according to the CARE Checklist (2016).
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Shao-Xuan Wang, PhD, Chief Doctor, Department of Gastroenterology, The First People's Hospital of Jining, Dormitory of the Second Dry Retreat Center, No. 16 South Construction Road, Fuqiao Street, Rencheng District, Jining 272111, Shandong Province, China. wang632217318@sina.com
Received: August 6, 2024
Revised: October 25, 2024
Accepted: December 16, 2024
Published online: April 26, 2025
Processing time: 154 Days and 5.5 Hours
Abstract
BACKGROUND

Lung cancer is the most prevalent malignant tumor in human body, and is characterized by a high level of malignancy. The most common metastatic sites include the liver, bone, brain, and adrenal gland, while lung cancer resulting in gastrointestinal tract metastasis is uncommon.

CASE SUMMARY

A 74-years-old man with lung cancer was hospitalized owing to blood in the stool, The cause was identified as metastasis to the small intestine, and the patient subsequently underwent radical resection of the small intestine tumor. Currently, the overall condition of the patient is good, and undergoing combined chemotherapy.

CONCLUSION

Early intervention in patients with metastatic tumors can significantly improve prognosis.

Keywords: Lung adenocarcinoma; Metastatic tumors; Small intestinal tumor; Gastrointestinal bleeding; Case report

Core Tip: This article introduces a case of lung cancer with small bowel metastasis and gastrointestinal bleeding, which is relatively rare compared with other sites, and the patient underwent laparoscopic radical resection of small bowel cancer, and the long-term prognosis still needs to be observed and followed. We look forward to providing a helpful clinical experience based on this case, and there is an urgent need to record more cases to support more advanced research efforts aimed at improving the detection rate of these patients and ultimately improving the quality of life and survival of patients.