Small cell lung cancer presenting with a left iliac fossa mass.

BMJ Case Rep

NHS, London, UK.

Published: November 2013

AI Article Synopsis

  • A 59-year-old woman, a lifelong smoker suffering from severe chronic obstructive pulmonary disease, experienced a sudden 3-day episode of pain and swelling in the left iliac region of her abdomen.
  • Clinical examination indicated a noticeable mass in the same area, leading to a differential diagnosis between a diverticular abscess or a colonic tumor.
  • A CT scan revealed the presence of widespread metastatic liver disease originating from a primary lung tumor, along with liver enlargement pressing against the abdominal wall.

Article Abstract

We report a 59-year-old lifelong smoker with severe chronic obstructive pulmonary disease who presented with an acute onset 3-day history of left iliac fossa pain and abdominal distension. Clinical examination revealed a palpable mass in the left iliac fossa. The differential diagnosis was that of a diverticular abscess or colonic tumour. She subsequently underwent a CT scan which showed extensive metastatic liver disease from a primary lung tumour, with hepatomegaly abutting the anterior abdominal wall in the left iliac fossa.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3830257PMC
http://dx.doi.org/10.1136/bcr-2013-200857DOI Listing

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