Ileal adenocarcinoma causing proximal bowel obstruction
Abdominal distension, pain abdomen, vomitting and inability to pass flatus and feces.
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Small bowel appears dilated. There is evidence of an annular constricting lesion in the distal ileum with enhancement. This is suggestive of a ileal stricuturing mass lesion.
Post operative histopathological diagnosis was of ileal adenocarcinoma.
Small bowel adenocarcinoma are relatively rare as compared to the colnic adenocarcinoma. It predominantly involves the duodenum, the jejunum and lastly the ileum.
- Buckley JA, Fishman EK. CT evaluation of small bowel neoplasms: spectrum of disease. Radiographics. 1998;18 (2): 379-92. Pubmed citation