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Adenocarcinoma arising in an elderly patient's large ileal duplication
Damiano de Tullio1, Rosa Rinaldi, Davide Pellegrini
1Department of Surgical, Radiological, and Anesthesiological Sciences, Surgical Clinic Institute, University of Ferrara, Ferrara, Italy. damiano.detullio@email.it
Abstract:
Bowel duplications are rare congenital anomalies commonly found in pediatric patients; few cases may remain undetected until adulthood. Malignant carcinomatous changes are rare complications in intestinal duplications. An 88-year-old female patient was referred to our surgical unit with the diagnosis of a large abdominal mass. An explorative laparotomy was performed, revealing a large (22 × 11 cm) neoplasm strictly connected to the lowest ileal segment and completely filling the pelvis. Definitive histology revealed a moderately differentiated adenocarcinoma developing in a duplication of the terminal ileum. The hypothesis of a gastrointestinal duplication should be evaluated in the differential diagnosis of large, complex, indeterminate masses located in or near the bowel; the possibility of neoplasm within the duplication should be considered.
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