A case series of acute intestinal obstruction due to jejunal adenocarcinoma
Authors:
Ahmed Siddique Ammar,
Fatima Tu Zahara,
Rizwan Khalid,
Syed Asghar Naqi
Background: Though tuberculosis strictures are the most common cause of acute intestinal obstruction, in rare patients, malignant strictures are found in the jejunum causing acute intestinal obstruction and biopsy of these strictures came out to be jejunal adenocarcinoma. Case Presentation: In this case series, we presented three cases of jejunal adenocarcinoma who presented in the emergency department with sign and symptoms of acute intestinal obstruction and peritonitis. All were operated and samples were sent for histopathology which shows jejunal adenocarcinoma in all three cases. Patients were sent to oncology department for adjuvant radiotherapy. Fortunately, all patients responded well to radiotherapy and post op follow up was satisfactory. Conclusion: Although a rare entity, the operating surgeon should keep a high suspicion for malignancy in cases of acute intestinal obstruction if strictures are found in jejunum and cancer directed surgery technique should be followed because this timely treatment is the best survival offer for the patient in otherwise aggressive disease.
Keywords: Case series, jejunum, small intestine, adenocarcinoma, obstruction, oncology.
Authors
Correspondence to:
Ahmed Siddique Ammar, Senior Registrar, General Surgery EAST Surgery Ward MAYO Hospital, Lahore, Pakistan asammar1912@gmail.com
Publication history:
Received 20 Dec 2020
Revised 23 Mar 2021
Accepted 25 Mar 2021
Published online 02 May 2021
Published in print 31 May 2021
Ammar AS, Zahara FT, Khalid R, Naqi SA. A case series of acute intestinal obstruction due to jejunal adenocarcinoma. EJMCR. 2021; 5(5): 142-145. doi:
10.24911/ejmcr/173-1608456744
Ammar AS, Zahara FT, Khalid R, Naqi SA. A case series of acute intestinal obstruction due to jejunal adenocarcinoma. https://www.ejmcr.com/?mno=32903 [Access: September 20, 2024]. doi:
10.24911/ejmcr/173-1608456744
Ammar AS, Zahara FT, Khalid R, Naqi SA. A case series of acute intestinal obstruction due to jejunal adenocarcinoma. EJMCR. 2021; 5(5): 142-145. doi:
10.24911/ejmcr/173-1608456744
Ammar AS, Zahara FT, Khalid R, Naqi SA. A case series of acute intestinal obstruction due to jejunal adenocarcinoma. EJMCR. (2021), [cited September 20, 2024]; 5(5): 142-145. doi:
10.24911/ejmcr/173-1608456744
Ammar, A. S., Zahara, . F. T., Khalid, . R. & Naqi, . S. A. (2021) A case series of acute intestinal obstruction due to jejunal adenocarcinoma. EJMCR, 5 (5), 142-145. doi:
10.24911/ejmcr/173-1608456744
Ammar, Ahmed Siddique, Fatima Tu Zahara, Rizwan Khalid, and Syed Asghar Naqi. 2021. A case series of acute intestinal obstruction due to jejunal adenocarcinoma. European Journal of Medical Case Reports, 5 (5), 142-145. doi:
10.24911/ejmcr/173-1608456744
Ammar, Ahmed Siddique, Fatima Tu Zahara, Rizwan Khalid, and Syed Asghar Naqi. "A case series of acute intestinal obstruction due to jejunal adenocarcinoma." European Journal of Medical Case Reports 5 (2021), 142-145. doi:
10.24911/ejmcr/173-1608456744
Ammar, Ahmed Siddique, Fatima Tu Zahara, Rizwan Khalid, and Syed Asghar Naqi. "A case series of acute intestinal obstruction due to jejunal adenocarcinoma." European Journal of Medical Case Reports 5.5 (2021), 142-145. Print. doi:
10.24911/ejmcr/173-1608456744
Ammar, A. S., Zahara, . F. T., Khalid, . R. & Naqi, . S. A. (2021) A case series of acute intestinal obstruction due to jejunal adenocarcinoma. European Journal of Medical Case Reports, 5 (5), 142-145. doi:
10.24911/ejmcr/173-1608456744