Case Report
Austin J Clin Pathol. 2020; 7(1): 1060.
Metachronic Small Bowel Metastasis of a Squamous Cell Carcinoma of the Cervix
Meriam S1*, Dorra T2, Nawel B2, Asma O2, Fatma K1, Norsaf B2, Hela E2 and Dalila G2
1Department of Pathology. Habib Thameur Hospital, Tunisia
2Department of Gastroenterology. Habib Thameur Hospital, Tunisia
*Corresponding author: Sabbah Meriam, Department of Pathology. Habib Thameur Hospital, Tunisia
Received: January 02, 2020; Accepted: January 23, 2020; Published: January 30, 2020
Case Report
We report a case of a woman 33 years old with past medical fact of hypertension, in whom squamous cell carcinoma of the cervix was diagnosed within post coital bleeding. The tumor was classified stage Ib according to FIGO classification and were treated with brachytherapy followed by hysterectomy with oophorectomy and external iliac lymphadenectomy. The evolution was favorable and she remained asymptomatic for 3 years. She was than hospitalized for obstructive syndrom. Abdominal X ray showed hydro-aeric levels and abdominal computed tomography showed grelic tumor with distension of the small bowel (Figure 1). Laparotomy exploration objectified a distended small bowel among a stenosis at 50 cm from the ileocecal valve and resection of 20 cm of small bowel was performed. Histological examination and immunochemistry of the surgical specimen confirmed the small bowel localization of a squamous cell carcinoma of the cervix (Figure 2). After surgery, she underwent adjuvant radiotherapy. She died after 5 months.
Figure 1: Abdominal X Ray showing grelic hydro-aerial levels.
Figure 2: Histopathological Examination of the grelic resection (HE):
infiltration of small bowel by uterine squamous cell carcinoma.
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