Duodeno-colic fistula as a rare presentation of lung cancer — surgical treatment of a stage IV oligometastatic lung disease Vitor Nunes, Inês Santiago,

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Duodeno-colic fistula as a rare presentation of lung cancer — surgical treatment of a stage IV oligometastatic lung disease Vitor Nunes, Inês Santiago, Rui Marinho, David Pires, Rita Theias, António Gomes, Nuno Pignatelli International Journal of Surgery Case Reports Volume 13, Pages 125-128 (January 2015) DOI: 10.1016/j.ijscr.2015.06.026 Copyright © 2015 The Authors Terms and Conditions

Fig. 1 a. Axial MDCT image of the upper abdomen; b. Sagital oblique US image of the upper abdomen; c. Axial MDCT image of the thorax. International Journal of Surgery Case Reports 2015 13, 125-128DOI: (10.1016/j.ijscr.2015.06.026) Copyright © 2015 The Authors Terms and Conditions

Fig. 2 a. Surgical specimen. b. Surgical reconstruction with end-to-end handsewn duodenojejunostomy and colorectal anastomosis. International Journal of Surgery Case Reports 2015 13, 125-128DOI: (10.1016/j.ijscr.2015.06.026) Copyright © 2015 The Authors Terms and Conditions

Fig. 3 a. Pulmonar biopsy ocupied by a solid tumor characterized by pleomorphic cells with irregular nucleus and proeminent nucleol. b. Surgical specimen (small intestine) with a solid tumor in the submucosa which invades focally the mucosa. International Journal of Surgery Case Reports 2015 13, 125-128DOI: (10.1016/j.ijscr.2015.06.026) Copyright © 2015 The Authors Terms and Conditions

Fig. 4 MR T1-weighted image of the brain after IV administration of paramagnetic contrast. International Journal of Surgery Case Reports 2015 13, 125-128DOI: (10.1016/j.ijscr.2015.06.026) Copyright © 2015 The Authors Terms and Conditions