Journal List > Korean J Gastroenterol > v.58(4) > 1006866

Choi, Jung, Um, Lee, Koo, Yim, Lee, and Choi: Small Bowel Carcinoma in Young Patient Detected by Double-balloon Enteroscopy

Abstract

A 17-year old female presented with a chief complaint of melena and epigastric pain. She had a family history of colon cancer, her mother having been diagnosed with hereditary nonpolyposis colorectal carcinoma (HNPCC). After close examination including double-balloon enteroscopy, the patient was diagnosed with small bowel carcinoma, in spite of her young age. Here we report this rare case of small bowel carcinoma in a young patient with a family history of HNPCC.

References

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Fig. 1.
Abdominal CT finding. It revealed segmental eccentric wall thickening of the jejunum which indicated a pathology of lymphoma or adenocarcinoma.
kjg-58-217f1.tif
Fig. 2.
Endoscopic finding. A large cancerous lesion with friable bleeding mucosa was found in the proximal jejunum that almost obstructed the bowel.
kjg-58-217f2.tif
Fig. 3.
PET scan finding. It revealed that the jejunal mass showed intense hypermetabolism. There were no other abnormal metabolic lesions.
kjg-58-217f3.tif
Fig. 4.
Gross finding of the jejunal segmentectomy specimen. There was 9.0×5.5 cm mass involving the proximal jejunum.
kjg-58-217f4.tif
Fig. 5.
Pathologic finding. (A) Well differentiated adenocarcinoma extended to the muscle layer and periintestinal adipose tissue of jejunum (H&E,×12.5). (B) Proliferation of atypical glands with irregular contours. The adenocarcinoma invaded the adjacent tissue with necrosis (H&E, ×100).
kjg-58-217f5.tif
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