Pinocy J, Klotz M, Weinzierl B, Schunck R, Weber P
[Primary adenocarcinoma of the jejunum. Diagnostic challenge by a rare tumour] [Case Reports, English Abstract, Journal Article]
Dtsch Med Wochenschr 2008 May; 133(20):1064-7.
HISTORY AND ADMISSION
FINDINGS: A 75 year old patient presented for many years with nausea and vomiting. The exacerbation of clinical presentation caused further investigation of the small bowel.
INVESTIGATIONS: The source of nausea and vomiting had been achieved by double contrast enteroclysis in the upper jejunum and it was confirmed with a coloskop. Treatment and course: Histological result was a primary small bowel adenocarcinoma. The primary definitive therapy was a radical resection of the jejunal neoplastic loop, also as an important prognostic factor. Because of the tumour stadium adjuvant chemotherapy was not necessary.
CONCLUSIONS: Tumours of small bowel are always a diagnostic challenge. With the help of an primary small bowel adenocarcinoma we suggest an algorithm of diagnostic possibilities adjusted to the clinical situation.
More from this journalRelated subjects (MeSH) |
