Mural thickening of one of the proximal jejunal loops with a few confluent heterogeneously enhancing nodules inseparable from the jejunum in the left hypochondrium. A few possible differentials are small bowel malignancy, small bowel lymphoma and gastrointestinal stromal tumour (GIST).

The patient underwent diagnostic laparoscopy which showed a proximal jejunal mass encasing the superior mesenteric vessels. Debulking surgery with resection of the proximal jejunum followed by the duodenojejunostomy was done. Later on after the histopathological confirmation of small bowel adenocarcinoma, the patient was referred to the medical oncology for further management.