Palestinian Medical and Pharmaceutical Journal (Pal. Med. Pharm. J.)

Small bowel adenocarcinoma in a Crohn's disease patient presenting as small bowel ob-struction: a case report

Article info

2021-08-27
2022-06-05
41 - 44

Keywords

  • Disease;
  • Small
  • Crohn's
  • bowel;
  • Adenocarcinoma

Abstract

Background: Small bowel adenocarcinoma (SBA) is a rare but dreaded complication of Crohn's disease with a poor prognosis. The evidence has concluded that it is difficult to dif-ferentiate between SBA and benign strictures. Intraoperative and pathological diagnosis is the mainstay of treatment. Case presentation: The current case involves a 40-year-old male with a 12-year history of Crohn's disease who presented with symptoms of small bowel obstruc-tion, which were confirmed by an abdominal C.T. scan. An exploratory laparotomy revealed a stricture, which raised the possibility of malignant disease. Histology revealed a well-differentiated adenocarcinoma. Conclusion: The rarity of small bowel adenocarcinoma in Crohn's disease patients necessitates a high index of suspicion in patients presenting with fea-tures of small bowel obstruction or strictures.

Recommended Citation

Barqawi, A., Rostom, A., & Sweileh, M. (2023). Small bowel adenocarcinoma in a Crohn’s disease patient presenting as small bowel ob-struction: a case report. Palestinian Medical and Pharmaceutical Journal, 8(1), 41–44. https://doi.org/10.59049/2790-0231.1140
[1]A. Barqawi, A. Rostom, and M. Sweileh, “Small bowel adenocarcinoma in a Crohn’s disease patient presenting as small bowel ob-struction: a case report,” Palestinian Medical and Pharmaceutical Journal, vol. 8, no. 1, pp. 41–44, Apr. 2023, doi: 10.59049/2790-0231.1140.
Barqawi, Abdelkarim, et al. “Small Bowel Adenocarcinoma in a Crohn’s Disease Patient Presenting as Small Bowel Ob-Struction: A Case Report.” Palestinian Medical and Pharmaceutical Journal, vol. 8, no. 1, Apr. 2023, pp. 41–44. Crossref, https://doi.org/10.59049/2790-0231.1140.
1.Barqawi A, Rostom A, Sweileh M. Small bowel adenocarcinoma in a Crohn’s disease patient presenting as small bowel ob-struction: a case report. Palestinian Medical and Pharmaceutical Journal [Internet]. 2023 Apr;8(1):41–4. Available from: http://dx.doi.org/10.59049/2790-0231.1140
Barqawi, Abdelkarim, Alaa Rostom, and Moutaz Sweileh. “Small Bowel Adenocarcinoma in a Crohn’s Disease Patient Presenting as Small Bowel Ob-Struction: A Case Report.” Palestinian Medical and Pharmaceutical Journal 8, no. 1 (April 2023): 41–44. https://doi.org/10.59049/2790-0231.1140.

Small bowel adenocarcinoma in a Crohn's disease patient presenting as small bowel ob-struction: a case report

معلومات المقال

2021-08-27
2022-06-05
41 - 44

الكلمات الإفتتاحية

  • Disease;
  • Small
  • Crohn's
  • bowel;
  • Adenocarcinoma

الملخص

Background: Small bowel adenocarcinoma (SBA) is a rare but dreaded complication of Crohn's disease with a poor prognosis. The evidence has concluded that it is difficult to dif-ferentiate between SBA and benign strictures. Intraoperative and pathological diagnosis is the mainstay of treatment. Case presentation: The current case involves a 40-year-old male with a 12-year history of Crohn's disease who presented with symptoms of small bowel obstruc-tion, which were confirmed by an abdominal C.T. scan. An exploratory laparotomy revealed a stricture, which raised the possibility of malignant disease. Histology revealed a well-differentiated adenocarcinoma. Conclusion: The rarity of small bowel adenocarcinoma in Crohn's disease patients necessitates a high index of suspicion in patients presenting with fea-tures of small bowel obstruction or strictures.

Recommended Citation

Barqawi, A., Rostom, A., & Sweileh, M. (2023). Small bowel adenocarcinoma in a Crohn’s disease patient presenting as small bowel ob-struction: a case report. Palestinian Medical and Pharmaceutical Journal, 8(1), 41–44. https://doi.org/10.59049/2790-0231.1140
[1]A. Barqawi, A. Rostom, and M. Sweileh, “Small bowel adenocarcinoma in a Crohn’s disease patient presenting as small bowel ob-struction: a case report,” Palestinian Medical and Pharmaceutical Journal, vol. 8, no. 1, pp. 41–44, Apr. 2023, doi: 10.59049/2790-0231.1140.
Barqawi, Abdelkarim, et al. “Small Bowel Adenocarcinoma in a Crohn’s Disease Patient Presenting as Small Bowel Ob-Struction: A Case Report.” Palestinian Medical and Pharmaceutical Journal, vol. 8, no. 1, Apr. 2023, pp. 41–44. Crossref, https://doi.org/10.59049/2790-0231.1140.
1.Barqawi A, Rostom A, Sweileh M. Small bowel adenocarcinoma in a Crohn’s disease patient presenting as small bowel ob-struction: a case report. Palestinian Medical and Pharmaceutical Journal [Internet]. 2023 Apr;8(1):41–4. Available from: http://dx.doi.org/10.59049/2790-0231.1140
Barqawi, Abdelkarim, Alaa Rostom, and Moutaz Sweileh. “Small Bowel Adenocarcinoma in a Crohn’s Disease Patient Presenting as Small Bowel Ob-Struction: A Case Report.” Palestinian Medical and Pharmaceutical Journal 8, no. 1 (April 2023): 41–44. https://doi.org/10.59049/2790-0231.1140.

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