A rare case of primary small bowel adenocarcinoma with intussusception

Stefano Caruso, Daniele Marrelli, Corrado Pedrazzani, Alessandro Neri, Maria Antonietta Mazzei, Monica Onorati, Giovanni Corso, Guido Cerullo, Franco Roviello

Research output: Contribution to journalArticle

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.

Original languageEnglish
Pages (from-to)355-357
Number of pages3
JournalTumori
Volume96
Issue number2
Publication statusPublished - Mar 2010

Keywords

  • Jejunal intussusception
  • Primary adenocarcinoma
  • Small bowel
  • Surgery

ASJC Scopus subject areas

  • Cancer Research
  • Oncology

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  • Cite this

    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), 355-357.