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A rare case of primary small bowel adenocarcinoma with intussusception.
Tumori. 2010 Mar-Apr; 96(2):355-7.T

Abstract

Other than in childhood, intussusception is unusual and nearly always caused by a structural and well demonstrable lesion. In contrast with the colon tract, the incidence of primary malignancies in the small bowel is very low. We report the case of a 51-year-old man presenting with jejunal intussusception due to a primary adenocarcinoma. To our knowledge, only a few similar cases have been reported in the literature to date. The patient was referred to our division for bowel obstruction. A CT scan showed a jejunal intussusception and surgical exploration was hence considered. At laparotomy, jejunal intussusception located just after the ligament of Treitz due to a polypoid lesion was confirmed and resection of the first jejunal loop was carried out. Histological examination of the specimen resulted in a diagnosis of a primary adenocarcinoma of the small bowel. In adult intestinal intussusception, resection without reduction is considered the optimal management if an underlying primary malignancy cannot be excluded.

Authors+Show Affiliations

Section of General Surgery and Surgical Oncology, Oncology University of Siena, Policlinico Santa Maria alle Scotte, Siena, Italy. stefano.caruso@tele2.itNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Case Reports
Journal Article

Language

eng

PubMed ID

20572601

Citation

Caruso, Stefano, et al. "A Rare Case of Primary Small Bowel Adenocarcinoma With Intussusception." Tumori, vol. 96, no. 2, 2010, pp. 355-7.
Caruso S, Marrelli D, Pedrazzani C, et al. A rare case of primary small bowel adenocarcinoma with intussusception. Tumori. 2010;96(2):355-7.
Caruso, S., Marrelli, D., Pedrazzani, C., Neri, A., Mazzei, M. A., Onorati, M., Corso, G., Cerullo, G., & Roviello, F. (2010). A rare case of primary small bowel adenocarcinoma with intussusception. Tumori, 96(2), 355-7.
Caruso S, et al. A Rare Case of Primary Small Bowel Adenocarcinoma With Intussusception. Tumori. 2010 Mar-Apr;96(2):355-7. PubMed PMID: 20572601.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - A rare case of primary small bowel adenocarcinoma with intussusception. AU - Caruso,Stefano, AU - Marrelli,Daniele, AU - Pedrazzani,Corrado, AU - Neri,Alessandro, AU - Mazzei,Maria Antonietta, AU - Onorati,Monica, AU - Corso,Giovanni, AU - Cerullo,Guido, AU - Roviello,Franco, PY - 2010/6/25/entrez PY - 2010/6/25/pubmed PY - 2010/7/9/medline SP - 355 EP - 7 JF - Tumori JO - Tumori VL - 96 IS - 2 N2 - Other than in childhood, intussusception is unusual and nearly always caused by a structural and well demonstrable lesion. In contrast with the colon tract, the incidence of primary malignancies in the small bowel is very low. We report the case of a 51-year-old man presenting with jejunal intussusception due to a primary adenocarcinoma. To our knowledge, only a few similar cases have been reported in the literature to date. The patient was referred to our division for bowel obstruction. A CT scan showed a jejunal intussusception and surgical exploration was hence considered. At laparotomy, jejunal intussusception located just after the ligament of Treitz due to a polypoid lesion was confirmed and resection of the first jejunal loop was carried out. Histological examination of the specimen resulted in a diagnosis of a primary adenocarcinoma of the small bowel. In adult intestinal intussusception, resection without reduction is considered the optimal management if an underlying primary malignancy cannot be excluded. SN - 0300-8916 UR - https://www.unboundmedicine.com/medline/citation/20572601/A_rare_case_of_primary_small_bowel_adenocarcinoma_with_intussusception_ L2 - https://medlineplus.gov/intestinalcancer.html DB - PRIME DP - Unbound Medicine ER -