%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