Year 2024 / Volume 116 / Number 4
Letter
Unusual presentation of jejunal adenocarcinoma and ovarian metastasis

225-226

DOI: 10.17235/reed.2023.9658/2023

María Desirée García García, María Dolores Galván Fernández, Samer Alejandro Mouhtar El Halabi, Jesús Machuca Aguado, Federico Argüelles-Arias,

Abstract
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.
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References
1. Aparicio T, Pachev A, Laurent-Puig P, Svrcek M. Epidemiology, Risk Factors and Diagnosis of Small Bowel Adenocarcinoma. Cancers (Basel). 2022;14(9). doi:10.3390/cancers14092268
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3. Farina M, Falbo F, Biancucci A, et al. Small bowel adenocarcinoma: natural history of recurrence after surgical resection. J Surg Case Rep. 2022;2022(10). doi:10.1093/jscr/rjac451
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García García M, Galván Fernández M, Mouhtar El Halabi S, Machuca Aguado J, Argüelles-Arias F. Unusual presentation of jejunal adenocarcinoma and ovarian metastasis. 9658/2023


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Publication history

Received: 12/04/2023

Accepted: 14/04/2023

Online First: 05/05/2023

Published: 09/04/2024

Article Online First time: 23 days

Article editing time: 363 days


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