Korean J Gastroenterol.  2011 Oct;58(4):217-220. 10.4166/kjg.2011.58.4.217.

Small Bowel Carcinoma in Young Patient Detected by Double-balloon Enteroscopy

• Choi YJ
• Jung SW
• Um JW
• Lee ES
• Koo JS
• Yim HJ
• Lee SW
• Choi JH

• KMID: 1718431
• DOI: http://doi.org/10.4166/kjg.2011.58.4.217

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.

Keyword

Jejunal neoplasm; Hereditary nonpolyposis colon cancer; Double-balloon enteroscopy

MeSH Terms

Adenocarcinoma/*diagnosis/pathology/surgery
Adolescent
Double-Balloon Enteroscopy
Female
Humans
Jejunal Neoplasms/*diagnosis/pathology/surgery
Positron-Emission Tomography
Tomography, X-Ray Computed

Figure

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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.

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  Fig. 2. Endoscopic finding. A large cancerous lesion with friable bleeding mucosa was found in the proximal jejunum that almost obstructed the bowel.

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  Fig. 3. PET scan finding. It revealed that the jejunal mass showed intense hypermetabolism. There were no other abnormal metabolic lesions.

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  Fig. 4. Gross finding of the jejunal segmentectomy specimen. There was 9.0×5.5 cm mass involving the proximal jejunum.

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  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).

Reference

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