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
