Unusual presentation of jejunal adenocarcinoma and ovarian metastasis.

Autor: García García MD; Gastroenterology, Hospital Universitario Virgen Macarena, España., Galván Fernández MD; Gastroenterology, Hospital Universitario Virgen Macarena, Spain., Mouhtar El Halabi SA; Gastroenterology, Hospital Universitario Virgen Macarena, Spain., Machuca Aguado J; Pathology, Hospital Universitario Virgen Macarena, Spain., Argüelles-Arias F; Gastroenterology, Hospital Universitario Virgen Macarena, Spain.
Jazyk: angličtina
Zdroj: Revista espanola de enfermedades digestivas [Rev Esp Enferm Dig] 2024 Apr; Vol. 116 (4), pp. 225-226.
DOI: 10.17235/reed.2023.9658/2023
Abstrakt: It is rare to find a small bowel tumour presenting as intestinal obstruction. This type of cancer is an extremely unusual condition often misdiagnosed until late stages. We report the case of a patient with persistent vomiting secondary to an obstructing jejunal adenocarcinoma not related to intestinal bowel disease. After resection and chemotherapy treatment a huge mass was detected in the left ovary. The anatomopathological findings confirmed a metastatic cancer consequent to the jejunal adenocarcinoma previously resected. This case illustrates a successful outcome of a jejunal adenocarcinoma with very poor prognosis after a extremely unusual ovarian metastasis. It is highly important to suspect other causes than intestinal bowel disease when doing a differential diagnosis in a young patient presenting with clinical symptoms of intestinal obstruction.
Databáze: MEDLINE