Asian Journal of Case Reports in Surgery

  • About
    • About the Journal
    • Submissions & Author Guideline
    • Accepted Papers
    • Editorial Policy
    • Editorial Board Members
    • Reviewers
    • Printed Hard copy
    • Subscription
    • Membership
    • Publication Ethics and Malpractice Statement
    • Digital Archiving
    • Contact
  • Archives
  • Indexing
  • Publication Charge
  • Submission
  • Testimonials
  • Announcements
Advanced Search
  1. Home
  2. Archives
  3. 2021 - Volume 11 [Issue 3]
  4. Case Report

Submit Manuscript


Subscription



  • Home Page
  • Author Guidelines
  • Editorial Board Member
  • Editorial Policy
  • Propose a Special Issue
  • Membership

Multifocal Small Bowel Adenocarcinoma Presenting as Multiple Strictures Mimicking Tuberculosis – A Case Report

  • V. R. Karthikayan
  • Anil Kumar Singh

Asian Journal of Case Reports in Surgery, Page 11-18

Published: 10 September 2021

  • View Article
  • Download
  • Cite
  • Statistics
  • Share

Abstract


Aims: This article tries to highlight the importance of suspecting Small bowel adenocarcinoma in a patient with multifocal small bowel strictures in tuberculosis endemic regions like India.


Presentation of Case: A 54 year old male presented with colicky central abdominal pain for 4 weeks. Initial evaluation suggested the possibility of Intestinal tuberculosis. He presented again 2 weeks later with acute intestinal obstruction and was taken up for emergency surgery which revealed multiple non passable strictures in jejunum and ileum which were resected and multiple anastomoses were done. Biopsy revealed multifocal primary small bowel adenocarcinoma without any evidence of predisposing factors for small bowel adenocarcinoma.


Discussion: Acute intestinal obstruction is one of the commonest indications for emergency laparotomies and obstruction secondary to small bowel strictures in the Indian subcontinent is most commonly due to Intestinal Tuberculosis with Crohn’s disease being a distant second entity. Small bowel adenocarcinoma is not only rare but also presents with nonspecific findings making it difficult to diagnose. Surgical resection is the cornerstone of management and standard chemotherapy regimens are still evolving. Small bowel adenocarcinoma most commonly presents as a solitary infiltrating mass and hence our case is very unique in its presentation as multiple malignant strictures in jejunum and ileum. Despite extensive histological and radiological evaluation of our patient, there were no known predisposing factors like Crohn’s disease or polyposis that can explain the multifocal presentation of small bowel adenocarcinoma.


Conclusion: Even with all the latest advancement in the field of diagnostics, preoperative diagnosis of small bowel adenocarcinoma is still uncommon. We are reporting this case to stress the importance of having a differential of small bowel adenocarcinoma in intestinal obstruction patients with multiple strictures of small bowel.


Keywords:
  • Multifocal small bowel adenocarcinoma
  • multiple strictures
  • Intestinal Tuberculosis
  • Case Report
  • Full Article – PDF
  • Review History

How to Cite

Karthikayan, V. R., & Singh, A. K. (2021). Multifocal Small Bowel Adenocarcinoma Presenting as Multiple Strictures Mimicking Tuberculosis – A Case Report. Asian Journal of Case Reports in Surgery, 11(3), 11-18. Retrieved from https://journalajcrs.com/index.php/AJCRS/article/view/198
  • ACM
  • ACS
  • APA
  • ABNT
  • Chicago
  • Harvard
  • IEEE
  • MLA
  • Turabian
  • Vancouver
  • Abstract View: 237 times
    PDF Download: 17 times

Download Statistics

Downloads

Download data is not yet available.
  • Linkedin
  • Twitter
  • Facebook
  • WhatsApp
  • Telegram
Make a Submission / Login
Information
  • For Readers
  • For Authors
  • For Librarians
Current Issue
  • Atom logo
  • RSS2 logo
  • RSS1 logo


© Copyright 2010-Till Date, Asian Journal of Case Reports in Surgery. All rights reserved.