Acute lower limb ischemia and intestinal necrosis due to arterial tumor embolism from advanced lung cancer: a case report and literature review

Abstract Background Arterial tumor embolism (ATE) is a rare but life-threating complication. Presentation of case A 55-year-old man with acute lower-limb ischemia was referred to our hospital after endovascular intervention failed and underwent above-the-knee amputation for severe limb necrosis. On...

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Main Authors: Sayuri Togo, Terutoshi Yamaoka, Kazutoyo Morita, Kazuomi Iwasa, Yukihiko Aoyagi, Yumi Oshiro, Takatoshi Fujishita, Hideki Yokoyama, Takashi Matsui, Takashi Nishizaki
Format: Article
Language:English
Published: Japan Surgical Society 2018-05-01
Series:Surgical Case Reports
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Online Access:http://link.springer.com/article/10.1186/s40792-018-0452-1
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author Sayuri Togo
Terutoshi Yamaoka
Kazutoyo Morita
Kazuomi Iwasa
Yukihiko Aoyagi
Yumi Oshiro
Takatoshi Fujishita
Hideki Yokoyama
Takashi Matsui
Takashi Nishizaki
author_facet Sayuri Togo
Terutoshi Yamaoka
Kazutoyo Morita
Kazuomi Iwasa
Yukihiko Aoyagi
Yumi Oshiro
Takatoshi Fujishita
Hideki Yokoyama
Takashi Matsui
Takashi Nishizaki
author_sort Sayuri Togo
collection DOAJ
description Abstract Background Arterial tumor embolism (ATE) is a rare but life-threating complication. Presentation of case A 55-year-old man with acute lower-limb ischemia was referred to our hospital after endovascular intervention failed and underwent above-the-knee amputation for severe limb necrosis. On postoperative day 8, he developed small bowel necrosis and underwent resection. Histopathological examination of the resected bowel revealed that the submucosal arterial emboli were positive for the markers of squamous cells. He had unresectable lung squamous cell carcinoma with left atrium invasion. The subsequent embolisms were thought to be caused by the advanced lung cancer. Conclusion ATE is rare but should be considered as a differential diagnosis for unidentified arterial occlusion.
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issn 2198-7793
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publishDate 2018-05-01
publisher Japan Surgical Society
record_format Article
series Surgical Case Reports
spelling doaj-art-3fa9557eaa384d2b8b6c2a6e887dbb182025-08-20T02:52:38ZengJapan Surgical SocietySurgical Case Reports2198-77932018-05-01411410.1186/s40792-018-0452-1Acute lower limb ischemia and intestinal necrosis due to arterial tumor embolism from advanced lung cancer: a case report and literature reviewSayuri Togo0Terutoshi Yamaoka1Kazutoyo Morita2Kazuomi Iwasa3Yukihiko Aoyagi4Yumi Oshiro5Takatoshi Fujishita6Hideki Yokoyama7Takashi Matsui8Takashi Nishizaki9Department of Surgery, Matsuyama Red Cross HospitalDepartment of Vascular Surgery, Matsuyama Red Cross HospitalDepartment of Surgery, Matsuyama Red Cross HospitalDepartment of Vascular Surgery, Matsuyama Red Cross HospitalDepartment of Vascular Surgery, Matsuyama Red Cross HospitalDepartment of Pathology, Matsuyama Red Cross HospitalDepartments of Thoracic Surgery, Matsuyama Red Cross HospitalDepartments of Thoracic Surgery, Matsuyama Red Cross HospitalDepartment of Surgery, Matsuyama Red Cross HospitalDepartment of Surgery, Matsuyama Red Cross HospitalAbstract Background Arterial tumor embolism (ATE) is a rare but life-threating complication. Presentation of case A 55-year-old man with acute lower-limb ischemia was referred to our hospital after endovascular intervention failed and underwent above-the-knee amputation for severe limb necrosis. On postoperative day 8, he developed small bowel necrosis and underwent resection. Histopathological examination of the resected bowel revealed that the submucosal arterial emboli were positive for the markers of squamous cells. He had unresectable lung squamous cell carcinoma with left atrium invasion. The subsequent embolisms were thought to be caused by the advanced lung cancer. Conclusion ATE is rare but should be considered as a differential diagnosis for unidentified arterial occlusion.http://link.springer.com/article/10.1186/s40792-018-0452-1Arterial tumor embolismLung cancerAcute mesenteric ischemiaAcute limb ischemia
spellingShingle Sayuri Togo
Terutoshi Yamaoka
Kazutoyo Morita
Kazuomi Iwasa
Yukihiko Aoyagi
Yumi Oshiro
Takatoshi Fujishita
Hideki Yokoyama
Takashi Matsui
Takashi Nishizaki
Acute lower limb ischemia and intestinal necrosis due to arterial tumor embolism from advanced lung cancer: a case report and literature review
Surgical Case Reports
Arterial tumor embolism
Lung cancer
Acute mesenteric ischemia
Acute limb ischemia
title Acute lower limb ischemia and intestinal necrosis due to arterial tumor embolism from advanced lung cancer: a case report and literature review
title_full Acute lower limb ischemia and intestinal necrosis due to arterial tumor embolism from advanced lung cancer: a case report and literature review
title_fullStr Acute lower limb ischemia and intestinal necrosis due to arterial tumor embolism from advanced lung cancer: a case report and literature review
title_full_unstemmed Acute lower limb ischemia and intestinal necrosis due to arterial tumor embolism from advanced lung cancer: a case report and literature review
title_short Acute lower limb ischemia and intestinal necrosis due to arterial tumor embolism from advanced lung cancer: a case report and literature review
title_sort acute lower limb ischemia and intestinal necrosis due to arterial tumor embolism from advanced lung cancer a case report and literature review
topic Arterial tumor embolism
Lung cancer
Acute mesenteric ischemia
Acute limb ischemia
url http://link.springer.com/article/10.1186/s40792-018-0452-1
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