[Adenocarcinoma in the terminal ileum in a patient with no previous history of Crohn's disease].
We present a case of a 60-year-old man with no previous history of Crohn's disease who presented with abdominal pain and vomiting. X-ray examination of the abdomen showed obstructive ileus and the patient underwent emergency surgery. The resected terminal ileum was stenosed with characteristic changes of Crohn's disease. In the area of stenosis, dysplastic changes of the mucosa were present. In continuation of the dysplastic areas, a well-differentiated adenocarcinoma T3N0M0V0 was present.
Patologiafdelingen, Roskilde Sygehus, Denmark. marieb@dadlnet.dk
Marie Fredslund
MF
Breinholt
Jeppe
J
Kildsig
D015746:Abdominal Pain / Q000175:diagnosis; D000230:Adenocarcinoma / Q000209:etiology / Q000473:pathology*; D003424:Crohn Disease / Q000150:complications / Q000473:pathology*; D003937:Diagnosis, Differential; D006801:Humans; D007078:Ileal Neoplasms / Q000209:etiology / Q000473:pathology*; D045823:Ileus / Q000175:diagnosis; D007413:Intestinal Mucosa / Q000473:pathology; D008297:Male; D008875:Middle Aged; D012307:Risk Factors