scholarly journals Primary adenocarcinoma arising from ileo-cecal junction presented with a component of ileo-ileal intussusception

2019 ◽  
Vol 6 (2) ◽  
pp. 618
Author(s):  
Satyendra Ramnadh G. ◽  
Vikas Puppala ◽  
Vishnu Samrat ◽  
M. Vijaya Lakshmi ◽  
Shekar Y. Tati ◽  
...  
Keyword(s):  
Small Bowel ◽  
Intestinal Obstruction ◽  
Terminal Ileum ◽  
Carcinoid Tumour ◽  
Malignant Lesion ◽  
Right Hemicolectomy ◽  
Primary Adenocarcinoma ◽  
Small Bowel Adenocarcinoma ◽  
Diagnostic Dilemma ◽  
Ileocecal Junction

Primary adenocarcinoma arising from small bowel is a rare entity account 1-2% of all GIT malignancies. Adenocarcinoma is the second most malignant lesion of the small bowel after carcinoid tumour followed by lymphoma and GISTs. Duodenum is the common site followed by jejunum and ileum within the small bowel. About 48years old male presented with symptoms and signs of intestinal obstruction i.e. pain and distension of the abdomen with bilious vomiting and absolute constipation. Case was diagnosed as intestinal obstruction provisionally. USG reported as ileocecal intussusceptions with mesenteric lymphadenopathy and was confirmed by CECT. After laparotomy, growth was found at ileocecal junction. Right hemicolectomy along with lymphadenectomy was done and specimen sent for HPE. HPE revealed well differentiated adenocarcinoma, arising from terminal ileum at ileocecal junction with ileo-ileal intussusception. Small bowel adenocarcinoma is rare, further rare in ileocecal junction, radiologically presented as ileo-cecal intussusception. However, lymph nodal enlargement put us in diagnostic dilemma. Author are interested to report this case because of its rarity (incidence of adenocarcinoma terminal ileum is extremely rare and presentation as intussusception is diagnostic challenging. 

scholarly journals Intestinal obstruction caused by small bowel adenocarcinoma misdiagnosed as psychogenic disorder

2019 ◽  
Vol 12 (1) ◽  
pp. bcr-2018-227326
Author(s):  
Hirotada Nishie ◽  
Taketo Suzuki ◽  
Hiroshi Ichikawa ◽  
Hiromi Kataoka
Keyword(s):  
Gastrointestinal Tract ◽  
Small Bowel ◽  
Intestinal Obstruction ◽  
Psychiatric Treatment ◽  
Severe Depression ◽  
Nausea And Vomiting ◽  
University Hospital ◽  
Small Bowel Adenocarcinoma ◽  
Antidepressant Agents ◽  
Decompression Tube

We describe a case of intestinal obstruction caused by a small bowel adenocarcinoma misdiagnosed as psychogenic disorder. A woman in her 40s was admitted to Nagoya City University Hospital with fatigue, anorexia, nausea and vomiting. CT, oesophagogastroduodenoscopy and colonoscopy revealed no signs of organic abnormality in her gastrointestinal tract. As the patient had previously been diagnosed with and treated for depression, her symptoms were suspected to be due to psychogenic disorder. Therefore, she was diagnosed with severe depression and was administered antidepressant agents. Despite intense psychiatric treatment, her symptoms worsened and she was later diagnosed with ileus due to adenocarcinoma in the jejunum. After drainage by insertion of a transnasal decompression tube, a partial jejunum resection was performed. After the resection, the patient’s symptoms including fatigue and depression resolved without the use of antidepressant agents.

A case of small bowel adenocarcinoma that caused intestinal obstruction after administration of patency capsule

2020 ◽  
Vol 13 (4) ◽  
pp. 522-526
Author(s):  
Takuya Seike ◽  
Masatoshi Yamato ◽  
Tsuyoshi Suda ◽  
Shingo Soga ◽  
Masako Kobayashi ◽  
...  
Keyword(s):  
Small Bowel ◽  
Intestinal Obstruction ◽  
Small Bowel Adenocarcinoma ◽  
Patency Capsule

scholarly journals Minimally Invasive Treatment of Sporadic Burkitt’s Lymphoma Causing Ileocaecal Invagination

2018 ◽  
Vol 2018 ◽  
pp. 1-5
Author(s):  
Paolo Panaccio ◽  
Michele Fiordaliso ◽  
Domenica Testa ◽  
Lorenzo Mazzola ◽  
Mariangela Battilana ◽  
...  
Keyword(s):  
Minimally Invasive ◽  
Intestinal Obstruction ◽  
Iliac Fossa ◽  
Abdominal Distension ◽  
Burkitt’S Lymphoma ◽  
Right Hemicolectomy ◽  
Burkitt's Lymphoma ◽  
Invasive Treatment ◽  
Diagnostic Dilemma ◽  
Non Hodgkin Lymphoma

Introduction. Primary NHL (non-Hodgkin lymphoma) of the colon represents only 0.2% to 1.2% of all colonic malignancies. Burkitt’s lymphoma (BL) is usually a disease reported in children and young people, most of them associated with EBV or HIV infection. We describe a rare case of intestinal obstruction due to sporadic Burkitt’s lymphoma causing ileocaecal invagination explaining our experienceMethods. A 31-year-old man presented with diffuse colic pain and weight loss. Clinical examination revealed an abdominal distension with pain in the right iliac fossa. Colonoscopy documented a caecal large lesion with ulcerated mucosa. Computed tomography (CT) have shown a 60 × 50 mm right colic parietal lesion with signs of ileocolic intussusception.Results. Laparoscopic right hemicolectomy was performed. Postoperative period was uneventful. CD20+ high-grade B-cell Burkitt’s lymphoma was confirmed by immunohistochemistry (CD20+, CD79+, and CD10+) and FISH test (t (8;14) (q24; q32). The patient was subsequently treated with adjuvant combination chemotherapy (Hyper-CVAD) and is alive and disease-free at 8 months follow-up.Discussion. Adult sporadic Burkitt’s lymphoma (BL) causing intestinal obstruction due to ileocaecal intussusception is an extremely rare occurrence and a diagnostic dilemma. Despite the surgical approach is selected based on patient’s conditions and surgeon’s expertise, minimally invasive method could be preferred.

scholarly journals T-shaped Meckel’s diverticulum: a rare anatomical variant complicating small bowel volvulus

2018 ◽  
Vol 5 (8) ◽  
pp. 2929
Author(s):  
Vergis Paul ◽  
Ramu R. ◽  
Kocheril Sheryl Mathews ◽  
Ashly Thomas ◽  
Reesha P. A. ◽  
...  
Keyword(s):  
Small Bowel ◽  
Intestinal Obstruction ◽  
Terminal Ileum ◽  
Meckel’S Diverticulum ◽  
Exploratory Laparotomy ◽  
Meckel's Diverticulum ◽  
Anatomical Variant ◽  
Small Bowel Volvulus ◽  
Common Presentation ◽  
Congenital Diverticulum

The Meckel's diverticulum is a congenital diverticulum arising from the terminal ileum and is the unobliterated proximal portion of the vitellointestinal duct. Intestinal obstruction due to Meckel’s diverticulum is the most common presentation in adults and is the second most common presentation in children. We present a case of a 58-year-old gentleman presented with acute abdomen who was later found to have Giant T- shaped Meckel’s Diverticulum complicating small bowel volvulus on exploratory laparotomy. A T-shaped Meckel's diverticulum has not yet been described.

scholarly journals A Rare case of Carcinoid Tumour Presenting as an Acute Intestinal Obstruction with Cryptorchidism

1970 ◽  
Vol 39 (133) ◽  
pp. 176-179
Author(s):  
Neelam R Charles ◽  
L B Christian ◽  
B Harishchandra ◽  
A Basu ◽  
P Sharma ◽  
...  
Keyword(s):  
Small Intestine ◽  
Lymph Nodes ◽  
Intestinal Obstruction ◽  
Rare Case ◽  
Carcinoid Tumour ◽  
Right Hemicolectomy ◽  
Acute Intestinal Obstruction ◽  
Distal Ileum ◽  
Pelvic Lymph Nodes ◽  
Malignant Carcinoid

A 40 year old man known to have cryptorchidism, presented with acute intestinal obstruction.At laparotomy stricture of the distal ileum, distended small intestine with enlarged multiplemesenteric and pelvic nodes were found. Right hemicolectomy was done and biopsies of mesentericand pelvic lymph nodes proved the tumour to be malignant carcinoid tumour withmetastasis to lymph nodes. Biopsy of the atrophied right testis showed presence of seminalvesicles.KEY WORDS: carcinoid tumour, obstruction, small intestine, cryptorchidism

Primary adenocarcinoma of the ileum causing obstruction in an 84-year-old patient – a case report

Nowa Medycyna ◽  
2018 ◽  
Vol 25 (4) ◽  
Author(s):  
Krzysztof Łampika ◽  
Paweł Dutkiewicz ◽  
Przemysław Ciesielski
Keyword(s):  
Case Report ◽  
Small Bowel ◽  
Early Stage ◽  
Tumour Progression ◽  
Correct Diagnosis ◽  
Primary Adenocarcinoma ◽  
Intestinal Fistula ◽  
Small Bowel Adenocarcinoma ◽  
Early Stage Disease ◽  
Stage Disease

Although small bowel adenocarcinoma is a rare cancer, with estimated incidence rate of 4 cases per million persons it is the most common small bowel tumour. Diagnosis of early-stage disease is difficult due to non-specific symptoms. Patients are usually treated on an emergency basis due to gastrointestinal obstruction or bleeding. The paper presents a case report of an 84-year-old female who underwent surgical treatment due to bowel obstruction caused by ileum cancer, and in whom diagnostic imaging did not allow for a correct diagnosis. The surgery was complicated by intestinal fistula. Histopathology confirmed local tumour progression. After treatment completion, the patient was referred for further anti-cancer treatment.

scholarly journals Neuromuscular and Vascular Hamartoma of the Small Bowel: A Rare Cause of Intestinal Obstruction

2010 ◽  
Vol 2 (02) ◽  
pp. 109-110 ◽  
Author(s):  
Vani Krishnamurthy ◽  
Vijiya Basavaraj ◽  
Manjunath Gubbanna Vimalambike ◽  
Keyword(s):  
Small Intestine ◽  
Small Bowel ◽  
Intestinal Obstruction ◽  
Terminal Ileum ◽  
Ongoing Debate ◽  
Histological Features ◽  
Rare Lesion ◽  
Vascular Hamartoma

ABSTRACTNeuromuscular and vascular hamartoma (NMVH) is a rare lesion arising chiefly in the small intestine. As it shares many of the histological features with other commonly occurring stricturous conditions of the small bowel, there is an ongoing debate whether it is truly hamartomatous or represents just a reactive condition. We are reporting a case of NMVH in the terminal ileum in a 32-year-old male who presented with symptoms of intestinal obstruction.

scholarly journals Extensive small bowel gangrene at mid-term pregnancy with fruitful outcome

2017 ◽  
Vol 6 (5) ◽  
pp. 2095
Author(s):  
Abdulhadi M. Elbashir ◽  
Saeed A. Alsareii ◽  
Sana B. Mustafa
Keyword(s):  
Small Bowel ◽  
Intestinal Obstruction ◽  
Right Hemicolectomy ◽  
Term Pregnancy ◽  
Previous Surgery ◽  
Mortality And Morbidity ◽  
Good Outcome ◽  
Mechanical Intestinal Obstruction ◽  
Bowel Gangrene

Intestinal obstruction during pregnancy is very rare. The mechanical intestinal obstruction was mostly due to adhesion from previous surgery.  Pregnancy may mask the symptoms of intestinal obstruction, and virgin abdomen adds to the ambiguity of the diagnosis. The mortality and morbidity increased for the mother and the fetus in the presence of bowel gangrene. We present a case of intestinal obstruction at mid-term pregnancy with extensive small bowel gangrene which necessitates right hemicolectomy and ends with a good outcome for the mother and fetus.

scholarly journals Small Bowel Obstruction due to Anomalous Congenital Bands in Children

2016 ◽  
Vol 2016 ◽  
pp. 1-3 ◽  
Author(s):  
Basak Erginel ◽  
Feryal Gun Soysal ◽  
Huseyin Ozbey ◽  
Erbug Keskin ◽  
Alaattin Celik ◽  
...  
Keyword(s):  
Differential Diagnosis ◽  
Small Bowel ◽  
Intestinal Obstruction ◽  
Small Bowel Obstruction ◽  
Terminal Ileum ◽  
Ascending Colon ◽  
Diagnostic Challenge ◽  
Intestinal Necrosis ◽  
Ligament Of Treitz ◽  
Intestinal Obstructions

Introduction. The aim of the study was to evaluate our children who are operated on for anomalous congenital band while increasing the awareness of this rare reason of intestinal obstruction in children which causes a diagnostic challenge.Patients and Methods. We retrospectively reviewed the records of fourteen children treated surgically for intestinal obstructions caused by anomalous congenital bands.Results. The bands were located between the following regions: the ascending colon and the mesentery of the terminal ileum in 4 patients, the jejunum and mesentery of the terminal ileum in 3 patients, the ileum and mesentery of the terminal ileum in 2 patients, the ligament of Treitz and mesentery of the jejunum in one patient, the ligament of Treitz and mesentery of the terminal ileum in one patient, duodenum and duodenum in one patient, the ileum and mesentery of the ileum in one patient, the jejunum and mesentery of the jejunum in one patient, and Meckel’s diverticulum and its ileal mesentery in one patient. Band excision was adequate in all of the patients except the two who received resection anastomosis for intestinal necrosis.Conclusion. Although congenital anomalous bands are rare, they should be considered in the differential diagnosis of patients with an intestinal obstruction.

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