Pseudogastroparesis as a presentation of adenocarcinoma of the proximal jejunum.
Establishing the presence of adenocarcinoma of the small bowel is exceedingly difficult. Survival is contingent on prompt diagnosis. We describe a patient with an atypical presentation of jejunal adenocarcinoma visualized via small bowel enteroclysis. She was referred with "gastroparesis," based on both a radionucleotide scan that revealed markedly delayed gastric emptying and a "normal" small bowel series. A markedly abnormal scintigraphic study and a negative small bowel series does not exclude disease of the small intestine and should provide the impetus to further pursue the possibility of an obstructing lesion. The enteroclysis is a relatively safe and effective study in the preoperative diagnosis of small bowel tumors.
Osias
G L
GL
Department of Medicine, North Shore University Hospital, Manhasset, New York, USA.
Tepper
R E
RE
Zanzi
I
I
Katz
S
S
D000230:Adenocarcinoma / Q000150:complications / Q000175:diagnosis*; D003937:Diagnosis, Differential; D005260:Female; D018589:Gastroparesis / Q000175:diagnosis* / Q000209:etiology; D006801:Humans; D007580:Jejunal Neoplasms / Q000150:complications / Q000175:diagnosis*; D008875:Middle Aged