scholarly journals Intussusception of a large circumferential caecal adenoma with ileocaecal valve consumption

2019 ◽  
Vol 12 (11) ◽  
pp. e232173
Author(s):  
Engelbert Mthunzi ◽  
Pepe Mullerat ◽  
Faris Kubba
Keyword(s):  
Weight Loss ◽  
Clinical Examination ◽  
Terminal Ileum ◽  
Invasive Adenocarcinoma ◽  
Tubulovillous Adenoma ◽  
Ileocaecal Valve

We present a case of an unusually large, circumferential tubulovillous adenoma involving the terminal ileum and the caecum with ileocaecal valve consumption, presenting as intussusception in an otherwise healthy 90-year-old woman. The patient presented with several months of chronic symptoms of weight loss and diarrhoea. Clinical examination revealed a right-sided mass. Investigations revealed a large right-sided lesion suspicious of intussusception. The patient underwent a right-sided hemicolectomy where the intussusception was resected. Histology of the resected mass revealed a tubulovillous adenoma with focal invasive adenocarcinoma.

scholarly journals A Pink Herring in the Colon: A Case Report of Eosinophilic Colitis Masking Invasive Adenocarcinoma of the Colon

2020 ◽  
Vol 2020 ◽  
pp. 1-5
Author(s):  
David Malcolm Milne ◽  
Jason Rattan ◽  
Alyssa Muddeen ◽  
Amrit A. Rambhajan
Keyword(s):  
Colon Cancer ◽  
Weight Loss ◽  
Iliac Fossa ◽  
Fluid Collection ◽  
Right Hemicolectomy ◽  
Subsequent Treatment ◽  
Invasive Adenocarcinoma ◽  
Lower Quadrant ◽  
Eosinophilic Colitis ◽  
The Right

Eosinophilic colitis is an inflammatory condition in which the wall of the colon becomes infiltrated by eosinophils which stain densely pink on microscopy. It is an uncommon clinical entity which has a long list of differential diagnoses. We present a case of a patient whose biopsy at colonoscopy revealed eosinophilic colitis which led to a delay in the diagnosis and subsequent treatment of colon cancer. A 35-year-old male presented with a six-week history of right lower quadrant abdominal pain associated with diarrhoea and weight loss. Colonoscopy showed an inflamed cecum; computed tomography revealed a small ascitic fluid collection in the right iliac fossa. Biopsy showed eosinophilic colitis, and he was treated conservatively with albendazole and mesalamine. The patient failed to improve over the following month with continued weight loss. A repeat CT scan showed a right iliac fossa mass. A right hemicolectomy was performed with histopathology from the specimen showing mucinous adenocarcinoma. Eosinophilic colitis can mask colon cancer and should be considered a diagnosis of exclusion.

Crohn’s disease

2018 ◽  
Vol 11 (8) ◽  
pp. 435-442
Author(s):  
James Franklin
Keyword(s):  
Inflammatory Bowel Disease ◽  
Weight Loss ◽  
Crohn’S Disease ◽  
Abdominal Pain ◽  
Gastrointestinal Tract ◽  
Crohn's Disease ◽  
Terminal Ileum ◽  
Bowel Disease ◽  
Rare Condition ◽  
Inflammatory Bowel

Crohn’s disease is a chronic relapsing gastrointestinal condition. It is an inflammatory bowel disease that can affect any part of the gastrointestinal tract from mouth to anus, but most commonly affects the terminal ileum and colon. Individuals can present with a wide variety of symptoms, but diarrhoea, abdominal pain and weight loss are the most common. It is a rare condition, but GPs play an important role in recognising Crohn’s disease and supporting patients through their lifelong treatment.

scholarly journals Metastases of lobular breast carcinoma in the terminal ileum and ileocaecal valve

2015 ◽  
Vol 2015 (3) ◽  
pp. rjv028-rjv028 ◽  
Author(s):  
S. Abdalla ◽  
P. Macneal ◽  
C.-M. Borg
Keyword(s):  
Breast Carcinoma ◽  
Terminal Ileum ◽  
Ileocaecal Valve ◽  
Lobular Breast Carcinoma

scholarly journals ILEOSCOPY

2015 ◽  
Vol 22 (03) ◽  
pp. 327-332
Author(s):  
Muhammad Mansoor ul Haq ◽  
Ayesha Khalil ◽  
Hafeezullah Shaikh ◽  
Shahid Mahmood ◽  
Kailash Makhijani
Keyword(s):  
Weight Loss ◽  
Terminal Ileum ◽  
Histopathological Examination ◽  
Diagnostic Yield ◽  
Granulomatous Inflammation ◽  
Normal Mucosa ◽  
Chronic Diarrhoea ◽  
Histopathological Analysis ◽  
Aged Patients ◽  
Medical College

Colonoscopy is one of the most important modalities to investigate complaintsrelated to lower gastrointestinal tract. Terminal ileum is an essential part of the completecolonoscopic examination. Objectives: To observe the diagnostic yield of ileoscopy in patientsundergoing colonoscopy. Design: Retrospective and observational study. Period: January 2010to May 2014. Setting: Liaquat National Hospital and Medical College. Patients and methods:Patients undergoing colonoscopy fulfilling inclusion and exclusion criteria were enrolled.Terminal ileum was examined and biopsies taken if abnormality present. Statistical analysiswas done by SPSS- 18. Result: A total of 1296 patients were included, 884 (68.2%) were maleand 412 (31.8%) were female. Age ranged from 15-90 years. The commonest indication wasbleeding per rectum (35.6%).1133(87.4%) patients had normal mucosa and 163 (12.6%) hadabnormal mucosa on ileoscopy. Of these 163 patients, 68 had ulcers, 56 had inflammation, 29had nodular mucosa and 10 had polyp. Histopathological examination showed non-specificinflammation in 139 patients; granulomatous inflammation in 7; reactive lymphoid hyperplasiain 8; 3 had normal result; biopsies were not taken in remaining 6 patients. By using chi-squaretest we found a significant statistical relationship between macroscopic abnormality of terminalileum mucosa and age of patients, weight loss, chronic diarrhoea, and abdominal pain. Onlogistic regression, age group, chronic diarrhoea and weight loss retained strong relationshipwith macroscopic abnormality of terminal ileum mucosa. Conclusions: Though a large numberof patients (12.6%) had abnormal terminal ileum mucosa, histopathological analysis did notshow any significant yield of ileoscopy. Terminal ileal abnormality was more common in youngand middle aged patients and in patients presenting primarily with chronic diarrhoea andweight loss.

scholarly journals Some observations on the transport of food in the alimentary canal of the rat

1954 ◽  
Vol 26 (1) ◽  
pp. 2-9
Author(s):  
Lauri Paloheimo ◽  
Aarne Mäkelä ◽  
Maija-Liisa Salo
Keyword(s):  
Small Intestine ◽  
Terminal Ileum ◽  
Alimentary Canal ◽  
Relative Rate ◽  
Positive Influence ◽  
The Other ◽  
Ileocaecal Valve ◽  
Series Of Experiments ◽  
Classical Conception

Several series of experiments were arranged so as to study in the rat 1) the effect of the degree of the charge of the stomach upon its rate of emptying, and 2) the rate of passage of the food in the empty small intestine. It was observed that the fullness of the stomach had a positive influence on its rate of emptying. In the empty small intestine the transport of the food after the commencement of the meal is very rapid during the first 5 minutes. In this time the food is carried a distance from the pylorus comprising 53—65 % of the length of the small intestine. Five minutes later 65— 78 % of the small intestine contains experimental food. However, the terminal ileum does not appear to be less filled than the other parts of the small intestine. It contains a slimy liquid which has been forced from the »empty» small intestine towards the caecum. Evidently the ileocaecal valve has remained closed. Only after about 1 ½ hours does the food reach the distal end of the small intestine. It is obvious that the rapid filling of the duodenum and jejunum immediately after the beginning of the meal cannot be explained by the classical conception of peristalsis described by Bayliss and Starling. It is remarkable that in the rat the transport of food in the empty small intestine seems to occur at about the same relative rate as in man.

PO110 METASTASES OF LOBULAR BREAST CARCINOMA IN THE TERMINAL ILEUM AND ILEOCAECAL VALVE

The Breast ◽  
2015 ◽  
Vol 24 ◽  
pp. S59
Author(s):  
Sala Abdalla ◽  
Peter Macneal ◽  
Cynthia-Michelle Borg
Keyword(s):  
Breast Carcinoma ◽  
Terminal Ileum ◽  
Ileocaecal Valve ◽  
Lobular Breast Carcinoma

Tiny but Mighty: Collision Tumor of a Superficial Adenocarcinoma Arising From a Tubulovillous Adenoma with Associated Low-Grade Follicular Lymphoma

2021 ◽  
pp. 106689692199594
Author(s):  
Yee Sing Lin ◽  
Auerilius E. R. Hamilton ◽  
Christopher Henderson ◽  
Mahtab Farzin
Keyword(s):  
Follicular Lymphoma ◽  
B Cell ◽  
Cell Lymphoma ◽  
B Cell Lymphoma ◽  
Collision Tumor ◽  
Right Hemicolectomy ◽  
Low Grade ◽  
Invasive Adenocarcinoma ◽  
Tubulovillous Adenoma ◽  
First Case

Collision tumors are rare and there have only been a few previously described cases between an intestinal adenoma and a lymphoma. We report the first case of a 74-year-old woman who on investigation for iron deficiency had a tubulovillous adenoma with underlying follicular lymphoma. The atypical lymphoid proliferation showed immunohistochemical positivity for cluster of differentiation 20 (CD20), B-cell lymphoma 2 (BCL2), and B-cell lymphoma 6 (BCL6). Subsequent right hemicolectomy showed a superficially invasive adenocarcinoma.

scholarly journals Asymptomatic Presentation of Invasive Adenocarcinoma of the Esophagus: A Case Report

2020 ◽  
Vol 1 (1) ◽  
pp. 1-2
Author(s):  
Edwin Thomas McCray ◽  
◽  
John Azat Masoud ◽  
John Poulos ◽  
◽  
...  
Keyword(s):  
Weight Loss ◽  
Esophageal Adenocarcinoma ◽  
Gastroesophageal Junction ◽  
Colonic Polyps ◽  
Pathology Report ◽  
Invasive Adenocarcinoma ◽  
Rare Presentation ◽  
Bowel Movements ◽  
History Of ◽  
Serious Disease

Esophageal and gastroesophageal junction cancers are of the malignancies that are often associated with a poor prognosis, making it one of the most common causes of cancer-related death worldwide. Common symptoms include dysphagia, odynophagia, cough, regurgitation of solid food, and weight loss. This case outlines a rare presentation of a large esophageal adenocarcinoma. Case Presentation: An 84-year-old male with a history of colonic polyps was scheduled for esophagogastroduodenoscopy and colonoscopy for evaluation of right upper quadrant pain, dyspepsia due to dysmotility, and frequent bowel movements. There were no complaints of dysphagia, pain, or unexplained weight loss. A 1.5-1.8-centimeter nodule at the gastroesophageal junction was discovered and biopsied. The pathology report showed adenocarcinoma with scattered signet rings on a background of acute inflammatory changes. The patient was subsequently referred to an otolaryngologist for further evaluation and management. Discussion: Esophageal adenocarcinoma may present in a variety of ways, and in some early cases show no signs or symptoms. This patient presented with a large malignant nodule with no signs or symptoms related to the lesion. Maintaining a broad differential diagnosis in patients with vague, unexplained symptoms may help lead to the discovery of serious disease.

scholarly journals Malignant duodeno-colic fistula

2014 ◽  
Vol 05 (02) ◽  
pp. 075-077
Author(s):  
Debasis Misra ◽  
Girish Kumar Pati ◽  
Bijay Misra ◽  
Ayaskanta Singh ◽  
Sanjib Kar ◽  
...  
Keyword(s):  
Inflammatory Bowel Disease ◽  
Weight Loss ◽  
Unusual Case ◽  
Rare Complication ◽  
Hepatic Flexure ◽  
Duodenal Fistula ◽  
Invasive Adenocarcinoma ◽  
Curative Surgery ◽  
Pain Abdomen ◽  
Inflammatory Bowel

AbstractColo-duodenal fistula is a rare complication of gastro-intestinal malignancy and inflammatory bowel disease. The fistula often results in diarrhea and vomiting with dramatic weight loss. Vomiting may be feculent or truly fecal associated with foul smelling eructation. We present an unusual case of colonic carcinoma, where a 61-year-old female patient presented with pain abdomen and vomiting secondary to a malignant colo-duodenal fistula near the hepatic flexure. Ultrasonography showed a mass in the hepatic flexure area, and invasive adenocarcinoma was confirmed on histology from biopsy obtained during colonoscopy. Coloduodenal fistulae from colonic primaries are rare, but early diagnosis may allow curative surgery.

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