Drukker L, Edden Y, Reissman P. Adenocarcinoma of the small bowel in a patient with occlusive Crohn’s disease. World J Gastrointest Oncol 2012; 4(7): 184-186 [PMID: 22844550 DOI: 10.4251/wjgo.v4.i7.184]
Corresponding Author of This Article
Petachia Reissman, MD, Professor of Medicine, Chief of General Surgery Department, Shaare Zedek Medical Center, Hebrew University, Hadassah School of Medicine, PO Box 3235, Jerusalem 91031, Israel. reissman@szmc.org.il
Article-Type of This Article
Case Report
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World J Gastrointest Oncol. Jul 15, 2012; 4(7): 184-186 Published online Jul 15, 2012. doi: 10.4251/wjgo.v4.i7.184
Adenocarcinoma of the small bowel in a patient with occlusive Crohn’s disease
Lior Drukker, Yair Edden, Petachia Reissman
Lior Drukker, Yair Edden, Petachia Reissman, Department of General Surgery, Shaare Zedek Medical Center, Hebrew University, Hadassah School of Medicine, PO Box 3235, Jerusalem 91031, Israel
Author contributions: Drukker L and Reissman P performed the surgical procedure and provided clinical data; Drukker L and Edden Y wrote the case report; all authors revised the paper and approved the final version.
Correspondence to: Petachia Reissman, MD, Professor of Medicine, Chief of General Surgery Department, Shaare Zedek Medical Center, Hebrew University, Hadassah School of Medicine, PO Box 3235, Jerusalem 91031, Israel. reissman@szmc.org.il
Telephone: +972-2-6666310 Fax: +972-2-6666253
Received: August 18, 2011 Revised: May 29, 2012 Accepted: May 31, 2012 Published online: July 15, 2012
Abstract
A 40-year-old male, diagnosed with mild Crohn’s disease (CD) 11 years ago but with no prior abdominal surgeries, was diagnosed with a small bowel stricture, due to ongoing abdominal pain and intolerance of enteral diet, and referred for surgical treatment. Exploratory laparoscopy revealed a white solid mass causing a near total jejunal obstruction with significant proximal dilatation. An adjacent small node was sampled for frozen biopsy, revealing a lymph node infiltrated with adenocarcinoma. Laparoscopic assisted small bowel resection and appendectomy were carried out. Final pathological results supported the initial report of diffuse small bowel adenocarcinoma. In conclusion, once a small bowel stricture associated with CD is suspected, rapid action should be considered to avoid late diagnosis of a neoplasia.
