| Title | [Primary adenocarcinoma of the jejunum. Diagnostic challenge by a rare tumour] |
| Author(s) | Pinocy J, Klotz M, Weinzierl B, Schunck R, Weber P |
| Institution | Kliniken für Chirurgie, Wilferdinger Strasse 67, 75179 Pforzheim. pinocy@siloah.de |
| Source | Dtsch Med Wochenschr 2008 May; 133(20):1064-7. |
| MeSH | Adenocarcinoma
Aged
Algorithms
Colonoscopy
Constriction, Pathologic
Humans
Jejunal Neoplasms
Jejunum
Male
Nausea
Neoplasm Staging
Prognosis
Vomiting
|
| Abstract | 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. |
| Language | ger |
| Pub Type(s) | Case Reports
English Abstract
Journal Article
|
| PubMed ID | 18461524 |
