Jejunal adenocarcinoma: still an elusive diagnosis. Case report and review of the literature.
Tumours arising in the small bowel are rare, accounting for less then 2% of all gastrointestinal neoplasms. Adenocarcinoma accounts for 40% of small bowel malignancies. They are rarely considered as a differential diagnosis, and their discovery is usually greeted with surprise. We present a case in which aspecific symptoms of this neoplasm, non-informative instrumental examinations and a coexisting hiatal hernia led to the misdiagnosis of reflux disease until a complication such as abdominal occlusion occurred. To the best of our knowledge this is the second case in the literature in which a jejunal adenocarcinoma mimicked a gastro-oesophageal reflux disease and delayed the correct diagnosis.
Iusco
Domenico Rosario
DR
U.O. Chirurgia Generale, P.O. F Lastaria, Lucera, Azienda Sanitaria Locale della Provincia di Foggia.
Altilia
Francesco
F
Massa
Sara Tiziana
ST
Schirone
Salvatore
S
Villani
Pasquale
P
Roggia
Gerardo
G
D000230:Adenocarcinoma / Q000175:diagnosis*; D006801:Humans; D007580:Jejunal Neoplasms / Q000175:diagnosis*; D008297:Male; D008875:Middle Aged