A Case of Small Intestinal Metastasis from Esophageal Squamous Cell Carcinoma Occurring as Small Bowel Obstruction

A 66-year-old woman undergoing esophageal resection on September 16, 2003, was pathohistologically diagnosedwith esophageal carcinoma, moderately differentiated squamous cell carcinoma (SCC) pAd n2 M0 stageIII. From July 2004, she suffered nausea and vomiting and abdominal X-ray examination showed a dilatedsmall intestinal loop with air and fluid level (ileus), necessitating that she be admitted on August, 2004. Examinationincluding radiography of the small bowel and abdominal CT suggested stenosis of the ileum, so we conductedsurgery on September, 2004. The tumor-like lesion located on the 70-cm oral side from the ileum waspathohistologically diagnosed as metastasized esophageal carcinoma.