Intestinal obstruction caused by early stage primary ileum adenocarcinoma: A case report and review of literature

Figure 1 Digital radiology and computed tomography images of the abdomen. A: Gas and fluid accumulation in the abdomen; B: Computed tomography (CT) scan showing intestinal obstruction; C: Uneven thickening of the ileum wall; D-F: Abdominal CT images after surgery. Two months after surgery, no recurrence or metastasis was observed under CT.

Figure 2 Histopathological examination of the ileal mass. A and B: Microscopic view revealed that the ulcerative adenocarcinoma had invaded the entire thickness of the ileal wall; × 10 (A); × 20 (B); C and D: Immunohistochemical staining demonstrates strong positivity for cytokeratin; × 10 (C); × 20 (D).

Figure 3 Exploratory laparotomy findings. A: Adhesion in the ileum is indicated by the arrow; B: Intestinal obstruction caused by cancer.