Adenocarcinoma arising in an elderly patient's large ileal duplication.
Bowel duplications are rare congenital anomalies commonly found in pediatric patients; few cases may remain undetected until adulthood. Malignant carcinomatous changes are rare complications in intestinal duplications. An 88-year-old female patient was referred to our surgical unit with the diagnosis of a large abdominal mass. An explorative laparotomy was performed, revealing a large (22 × 11 cm) neoplasm strictly connected to the lowest ileal segment and completely filling the pelvis. Definitive histology revealed a moderately differentiated adenocarcinoma developing in a duplication of the terminal ileum. The hypothesis of a gastrointestinal duplication should be evaluated in the differential diagnosis of large, complex, indeterminate masses located in or near the bowel; the possibility of neoplasm within the duplication should be considered.
de Tullio
Damiano
D
Department of Surgical, Radiological, and Anesthesiological Sciences, Surgical Clinic Institute, University of Ferrara, Ferrara, Italy. damiano.detullio@email.it
Rinaldi
Rosa
R
Pellegrini
Davide
D
Stano
Rocco
R
Messina
Federico
F
Cavazzini
Luigi
L
Azzena
Gianfranco
G
Occhionorelli
Savino
S
D000230:Adenocarcinoma / Q000150:complications / Q000473:pathology*; D000369:Aged, 80 and over; D000740:Anemia / Q000150:complications; D005260:Female; D005756:Gastritis / Q000150:complications; D006801:Humans; D007078:Ileal Neoplasms / Q000150:complications / Q000473:pathology*; D007082:Ileum / Q000002:abnormalities*; D007415:Intestinal Obstruction / Q000150:complications