%0 Journal Article %T Adenocarcinoma of the small bowel in a patient with occlusive Crohn¡¯s disease %A Lior Drukker %A Yair Edden %A Petachia Reissman %J World Journal of Gastrointestinal Oncology %D 2012 %I Baishideng Publishing Group Co. Limited %R 10.4251/wjgo.v4.i7.184 %X 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. %K Inflammatory bowel disease %K Crohn¡¯s disease %K Small bowel obstruction %K Small bowel stricture %K Small bowel adenocarcinoma %U http://www.wjgnet.com/1948-5204/full/v4/i7/184.htm