We report a case of laryngeal carcinoma metastasizing to the small intestine. A 51-year-old man who had been treated for laryngeal carcinoma presented with abdominal pain. CT of the abdomen revealed hypertrophy of the ileum wall. There was an incomplete obstruction of ileum. After resection of the obstruction, the patient was free from abdominal pain and became able to eat. The specimen demonstrated an infiltration of the small intestine by squamous cell carcinoma, speculated to be from the larynx.