EJMCR |

Case Report

Volume: 7 | Issue: 5 | Published: May 18, 2023 | Pages: 100 - 103 | DOI: 10.24911/ejmcr/173-1648384776

Cecal adenocarcinoma with extension into terminal ileum presenting as terminal ileitis and abscess formation

Authors: Gordon S. Wong , Ashley Thompson , Keely Parisian , Aaron Huber , Aameera Khan

Article Info

Authors

Gordon S. Wong

Department of Internal Medicine, Yale New Haven Health - Greenwich Hospital, Greenwich, CT

Ashley Thompson

Division of Gastroenterology, Oregon Health Science University, Portland, OR

Keely Parisian

Department of Gastroenterology/Hepatology, University of Rochester Medical Center, Rochester, NY

Aaron Huber

Pathology and Laboratory Medicine, University of Rochester Medical Center, Rochester, NY

Aameera Khan

Department of Internal Medicine, University of Rochester Medical Center, Rochester, NY.

Publication History

Received: March 27, 2022

Revised: April 04, 2023

Accepted: April 04, 2023

Published: May 18, 2023

Abstract

Background: While terminal ileitis is most often associated with Crohn's disease, it has a broad differential, including malignancy. Case Presentation: We report an 83-year-old female with fever and right lower quadrant abdominal pain. An imaging study revealed an abscess located at a thickened terminal ileum. The etiology of terminal ileitis was unclear, but symptoms subsided with antibiotics and cessation of naproxen. Two years later, the patient presented with similar symptoms and imaging findings. Colonoscopy revealed a submucosal mass, which was found to be adenocarcinoma, located in the cecum and terminal ileum. Conclusion: This case highlights that differential for cecal adenocarcinoma with extension into the terminal ileum should be considered in those presenting with terminal ileitis and abscess formation.

Keywords: Cecal adenocarcinoma, terminal ileitis, abscess, diagnostic challenge, green

Pubmed Style

Gordon S. Wong, Ashley Thompson, Keely Parisian, Aaron Huber, Aameera Khan. Cecal adenocarcinoma with extension into terminal ileum presenting as terminal ileitis and abscess formation. EJMCR. 2023; 18 (May 2023): 100-103. doi:10.24911/ejmcr/173-1648384776

Web Style

Gordon S. Wong, Ashley Thompson, Keely Parisian, Aaron Huber, Aameera Khan. Cecal adenocarcinoma with extension into terminal ileum presenting as terminal ileitis and abscess formation. https://ejmcr.com/articles/1054 [Access: December 04, 2024]. doi:10.24911/ejmcr/173-1648384776

AMA (American Medical Association) Style

Vancouver/ICMJE Style

Gordon S. Wong, Ashley Thompson, Keely Parisian, Aaron Huber, Aameera Khan. Cecal adenocarcinoma with extension into terminal ileum presenting as terminal ileitis and abscess formation. EJMCR. (2023), [cited December 04, 2024]; 18 (May 2023): 100-103. doi:10.24911/ejmcr/173-1648384776

Harvard Style

Gordon S. Wong, Ashley Thompson, Keely Parisian, Aaron Huber, Aameera Khan (2023) Cecal adenocarcinoma with extension into terminal ileum presenting as terminal ileitis and abscess formation. EJMCR, 18 (May 2023): 100-103. doi:10.24911/ejmcr/173-1648384776

Chicago Style

Gordon S. Wong, Ashley Thompson, Keely Parisian, Aaron Huber, Aameera Khan. "Cecal adenocarcinoma with extension into terminal ileum presenting as terminal ileitis and abscess formation." 18 (2023), 100-103. doi:10.24911/ejmcr/173-1648384776

MLA (The Modern Language Association) Style

Gordon S. Wong, Ashley Thompson, Keely Parisian, Aaron Huber, Aameera Khan. "Cecal adenocarcinoma with extension into terminal ileum presenting as terminal ileitis and abscess formation." 18.May 2023 (2023), 100-103. Print. doi:10.24911/ejmcr/173-1648384776

APA (American Psychological Association) Style

Gordon S. Wong, Ashley Thompson, Keely Parisian, Aaron Huber, Aameera Khan (2023) Cecal adenocarcinoma with extension into terminal ileum presenting as terminal ileitis and abscess formation. , 18 (May 2023), 100-103. doi:10.24911/ejmcr/173-1648384776