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Small bowel carcinoma in young patient detected by double-balloon enteroscopy
Yoon Ji Choi1, Sung Woo Jung, Jun Won Um
1Departments of Internal Medicine, Surgery and Pathology, Korea University College of Medicine, Seoul, Korea.
Insights
A young female patient with a family history of hereditary nonpolyposis colorectal carcinoma (HNPCC) was diagnosed with small bowel carcinoma. This case highlights a rare occurrence of early-onset small bowel cancer in individuals with genetic predispositions.
Area of Science:
- Gastroenterology
- Oncology
- Genetics
Background:
- Hereditary nonpolyposis colorectal carcinoma (HNPCC) significantly increases the risk of gastrointestinal cancers.
- Small bowel carcinoma is a rare malignancy, particularly in adolescents.
- Genetic predisposition plays a crucial role in the development of early-onset cancers.
Observation:
- A 17-year-old female presented with melena and epigastric pain.
- She had a maternal history of hereditary nonpolyposis colorectal carcinoma (HNPCC).
- Diagnostic evaluation included double-balloon enteroscopy.
Findings:
- The patient was diagnosed with small bowel carcinoma.
- This represents a rare case of malignancy in a young patient.
- The diagnosis was made despite the patient's young age.
Implications:
- This case underscores the importance of considering rare diagnoses in young patients with relevant family histories.
- Early detection and genetic counseling are vital for individuals with HNPCC.
- Further research into the genetic factors contributing to early-onset small bowel cancer is warranted.
Abstract:
A 17-year old female presented with a chief complaint of melena and epigastric pain. She had a family history of colon cancer, her mother having been diagnosed with hereditary nonpolyposis colorectal carcinoma (HNPCC). After close examination including double-balloon enteroscopy, the patient was diagnosed with small bowel carcinoma, in spite of her young age. Here we report this rare case of small bowel carcinoma in a young patient with a family history of HNPCC.
