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Research Article Open access CC BY 4.0

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

Sushil Deshpande, Sangeeta Deshpande, Santosh Kasture, Dinesh Kulkarni

Asian Journal of Case Reports in Surgery · pp. 738–741 · Published 10 Nov 2021

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.

Adenocarcinoma ileum perforation

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