title: Jejunal adenocarcinoma: still an elusive diagnosis. Case report and review of the literature.
abstract: 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.
authors: U.O. Chirurgia Generale, P.O. F Lastaria, Lucera, Azienda Sanitaria Locale della Provincia di Foggia.
authors: Domenico Rosario
authors: DR
authors: Iusco
authors: Francesco
authors: F
authors: Altilia
authors: Sara Tiziana
authors: ST
authors: Massa
authors: Salvatore
authors: S
authors: Schirone
authors: Pasquale
authors: P
authors: Villani
authors: Gerardo
authors: G
authors: Roggia
mesh_terms: D000230:Adenocarcinoma / Q000175:diagnosis*; D006801:Humans; D007580:Jejunal Neoplasms / Q000175:diagnosis*; D008297:Male; D008875:Middle Aged