An atypical presentation of small bowel adenocarcinoma; a case report

Authors

  • Warda Khalid Department of General Surgery Unit-1, Lahore General Hospital, Lahore, Pakistan
  • Danish Ali Department of General Surgery Unit-1, Lahore General Hospital, Lahore, Pakistan
  • Abdul Rehman Department of General Surgery Unit-1, Lahore General Hospital, Lahore, Pakistan
  • Muhammad Adeel Kaiser Department of General Surgery Unit-1, Lahore General Hospital, Lahore, Pakistan
  • Tausief Fatima Department of General Surgery Unit-1, Lahore General Hospital, Lahore, Pakistan
  • Muhammad Farooq Afzal Department of General Surgery Unit-1, Lahore General Hospital, Lahore, Pakistan

DOI:

https://doi.org/10.47391/JPMA.1214

Abstract

Abstract

Small bowel malignancy (SBM) is a rare malignancy in the gastrointestinal tract. Duodenum is the most commonly involved segment and the most common histological subtype is adenocarcinoma (40%). Due to a lack of screening tools and vague symptoms, its clinical detection is very challenging.

A 27-year-old man presented at the surgical emergency of Lahore General Hospital in February 2019 with non-specific gastrointestinal symptoms (vomiting, abdominal pain), for which he had previously visited the hospital multiple times. Later, on further workup, he had been diagnosed as a case of intussusception on CT scan. On exploration, he had an impassable stricture in the jejunum. Resection anastomosis of the jejunum was done, but later, on histopathology it turned out to be adenocarcinoma.

Adenocarcinoma of the small bowel is a rare entity, and, particularly in Pakistan, Continuous...

 

Published

2020-11-06

Issue

Section

Case Report