Solitary Jejunal Metastasis from Carcinoma Pyriform Fossa presenting as Intestinal Obstruction

Metastatic involvement of small intestine from a head and neck primary is a rare occurrence and carries an unfavour­ able prog nosis. Small bowel metastases usually present with obstruc tion, perforation or bleeding. Small bowel obstruction due to a metastatic stricture is uncommon and mostly occurs as part of generalized carcinomatosis. Rarely, it selectively affects in the form of a solitary malignant stricture.