Ileal adenocarcinoma causing proximal bowel obstruction

Case contributed by Avni K P Skandhan

Presentation

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

Patient Data

Age: 65 years
Gender: Male

Note: This case has been tagged as "legacy" as it no longer meets image preparation and/or other case publication guidelines.

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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