Ileal adenocarcinoma causing proximal bowel obstruction

Case contributed by Dr Avni K P Skandhan

Presentation

Abdominal distension and pain, vomiting and inability to pass flatus and faeces.

Patient Data

Age: 65 years
Gender: Male

Small bowel appears dilated. There is evidence of an annular constricting lesion in the distal ileum with enhancement. This is suggestive of a stenosing ileal mass lesion.

Case Discussion

Post operative histopathological diagnosis was of ileal adenocarcinoma.

Small bowel adenocarcinoma is relatively rare compared to colonic adenocarcinoma. It predominantly involves the duodenum and jejunum, with the ileum less frequently involved.

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Case information

rID: 25371
Published: 22nd Oct 2013
Last edited: 14th Jan 2019
Inclusion in quiz mode: Included

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