Lung cancer is the leading cause of cancer-related deaths, metastatic disease being a major contributor. Small bowel metastasis from non-small cell lung carcinoma is rare and often signals aggressive disease with poor prognosis. We present the case of a 61-year-old man diagnosed with stage IV poorly differentiated lung adenocarcinoma who developed small bowel obstruction from jejunal metastasis 1 month after diagnosis. Laparoscopic intestinal resection and anastomosis were performed, and pathological examination confirmed metastasis. Postoperative evolution was favorable, and the patient was discharged on the 5th postoperative day. Minimally invasive surgery allowed this patient to undergo a speedy recovery and early access to adjuvant treatment. Advances in laparoscopic techniques have shown benefits over open surgery, including faster recovery and reduced morbidity. This case highlights the role of individualized patient assessment in determining the best surgical approach based on past medical history, physical examination, and computed tomography findings.
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