AI Article Synopsis
- An 82-year-old man presented with vomiting and was found to have a jejunum tumor causing small bowel obstruction through CT imaging.
- An enteroscopy showed a protruding lesion which was biopsied, confirming adenocarcinoma, while PET-CT scan did not detect any other tumors.
- The surgery revealed peritoneal disseminations and a tumor 40 cm distal from the ligament of Treitz, leading to a partial resection, and the pathology indicated it was adenocarcinoma from a rare ectopic pancreas in the jejunum.
Article Abstract
Were port a caseof an 82-year-old man who presented with vomiting. Computed tomography(CT)revealed a jejunum tumor and small bowel obstruction. Enteroscopy revealed a protruded lesion and biopsy indicated adenocarcinoma. PET-CT revealed nothing without jejunal tumor. Therefore, with a preoperative diagnosis of primary small bowel cancer, we performed operation. Surgery indicated peritoneal disseminations and a jejunal tumor 40 cm distal from the ligament of Treitz, and we performed small bowel partial resection. Pathological examination revealed adenocarcinoma originating from a Heinrich type I ectopic pancreas in the jejunum. Ectopic pancreatic cancer in the jejunum is rare, and we review case reports in the literature.
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