Ileal adenocarcinoma causing proximal bowel obstruction
Abdominal distension and pain, vomiting and inability to pass flatus and faeces.
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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 stenosing ileal mass lesion.
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.
- Buckley JA, Fishman EK. CT evaluation of small bowel neoplasms: spectrum of disease. Radiographics. 1998;18 (2): 379-92. Pubmed citation