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February 1963

Metastatic Osteogenic Sarcoma of the Ileum: Intussusception and Intestinal Obstruction

Author Affiliations

From the Departments of Surgery and Medicine, Michael Reese Hospital and Medical Center.

Arch Surg. 1963;86(2):233-234. doi:10.1001/archsurg.1963.01310080057013

Metastatic invasion of the small bowel by blood-borne metastasis from distant malignant growths occurs rarely.1,13 These may manifest themselves by intestinal obstruction either with or without intussusception. The following case report of a metastatic osteogenic sarcoma causing a small bowel polyp with intussusception and intestinal obstruction is, as far as we can tell from a review of the literature as far back as 1900, the only such case reported.

Report of a Case  A 38-year-old grade school principal was admitted to Michael Reese Hospital for the first time on Sept. 9, 1960, with a chief complaint of persistent vomiting for 8 hours prior to admission.Twenty-two months before the present admission, he had had a mid-thigh amputation for osteogenic sarcoma of the left femur. Six thousand roentgens of radiation by the linear accelerator were given to a solitary metastasis in the left upper lobe of the lung over a

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