Asian Journal of Case Reports in Surgery

Adenocarcinoma of Ileum Presenting as Acute Abdomen – A Rare Case Report

Sushil Deshpande

Sanket Nursing Home, Aurangabad 431005, Maharashtra, India.

Sangeeta Deshpande

Independent Researcher, Aurangabad, Maharashtra, India.

Santosh Kasture

Kasture Pathology Laboratory, Aurangabad, Maharashtra, India.

Dinesh Kulkarni *

Saurabh Histopathology Centre, Aurangabad 431005, Maharashtra, India.

*Author to whom correspondence should be addressed.

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Abstract

Benign and malignant tumours of small intestine are uncommon. Small bowel malignancies are rare and often present with non-specific symptoms. Because of this, diagnosis of small bowel malignancies is often missed. The primary malignant tumours of small intestine constitute only 1-3% of all primary gastrointestinal malignancies. Adenocarcinoma account for 40-60% of small bowel malignant tumours. Ileum is involved in 13% of patients. Our patient presented with features of acute abdomen. Resected ileal segment revealed thickened wall and histologically it was adenocarcinoma invading upto muscularis, serosa was spared and no nodes were involved. We report this case for uncommon involvement of small intestine with malignant lesion and perforation.

Keywords: Adenocarcinoma, ileum, perforation

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