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A Mouse Model of Intestinal Partial Obstruction

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Early Discovery Of Small Bowel Adenocarcinoma In a Patient Admitted For 4 Acute Intestinal Intussusception.

Abdelilah El Bakouri^1,2, Anas El Wassi^1,2, Yassine Eddaoudi^1,2

¹Visceral Surgery Emergency Department P35 , University Hospital Center Ibn Rochd, Casablanca, Morocco.

Annals of Medicine and Surgery (2012)

|October 21, 2022

Summary

This case report highlights the early discovery of small bowel adenocarcinoma in a patient presenting with acute intestinal intussusception. Prompt diagnosis and surgical intervention are crucial for managing this rare malignancy.

Keywords:

Adenocarcinoma Endoscopy Familial adenomatous polyposis Small bowel Surgery

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Area of Science:

Gastroenterology
Surgical Oncology
Diagnostic Imaging

Background:

Small bowel adenocarcinoma is a rare malignancy, often diagnosed late due to its location.
Intestinal intussusception can be a presenting symptom of underlying small bowel tumors.

Observation:

A patient presented with acute intestinal intussusception, leading to the discovery of small bowel adenocarcinoma.
Imaging revealed diffuse small bowel thickening and multiple intussusceptions.
Surgical exploration confirmed three small bowel and one colonic intussusception.

Findings:

Histopathological examination confirmed well-differentiated intestinal adenocarcinoma arising from degenerated adenomatous polyps.
The tumor was staged as pT2 with clear resection margins.
A co-existing tubular adenoma with low-grade dysplasia was found in the colon.

Implications:

This case underscores the importance of considering malignancy in patients with intussusception, especially in the small bowel.
Early diagnosis of small bowel adenocarcinoma can be facilitated by advanced imaging and endoscopic techniques.
Prompt surgical management is essential for favorable outcomes in small bowel adenocarcinoma.