A Mysterious Presentation of Small Bowel Stricture
M Cao MD1, Kristen Bridges MD1, Pratibha Vemulapalli MD1, Jaime Sexton MSc1, Justin Cleveland MS1 and Brian Gilchrist MD1*
1 The Brooklyn Hospital Center, New York, USA.
*Corresponding Author: Brian Gilchrist MD, The Brooklyn Hospital Center, New York, USA.
DOI: https://doi.org/10.58624/SVOAMR.2023.01.002
Received: June 21, 2023 Published: August 03, 2023
Abstract
Small bowel adenocarcinoma is a rare malignancy that accounts for a small percentage of gastrointestinal cancers. Diagnosis and management of small bowel adenocarcinoma can be challenging due to its rarity and nonspecific presentation. We present a case of a 51-year-old male with a history of intravenous drug use who presented with worsening abdominal pain and was found to have a small bowel obstruction. Exploratory laparotomy revealed a stricture in the jejunum caused by an intraluminal mass, which was resected. Pathological examination confirmed the diagnosis of intestinal type, moderately differentiated adenocarcinoma. This case highlights the importance of considering small bowel adenocarcinoma as a possible etiology in patients presenting with small bowel obstruction, particularly in high-risk individuals. Early diagnosis and complete resection remain the mainstays of treatment for improved outcomes in small bowel adenocarcinoma.
Keywords: small bowel adenocarcinoma, bowel surgery, small bowel stricture management
Citation: Cao M, Bridges K, Vemulapalli P, Sexton J, Cleveland J, Gilchrist B. A Mysterious Presentation of Small Bowel Stricture. SVOA Medical Research 2023, 1:1, 07-11.