title: A case of the primary small intestinal cancer which performed operation under laparoscopy after ileus decompression.
abstract: The patient was a 66-year-old man with repeated episodes of abdominal pain resulting in a diagnosis of ileus, and he was admitted to this hospital. During hospitalization, the pain symptoms improved after the insertion of an ileus tube, but there was a recurrence of ileus after the patient was started on a liquid diet. An adhesive intestinal obstruction was thus suspected, and laparoscopy was performed. A diagnosis of small intestinal carcinoma was made based on the intraoperative findings. A partial resection of the small bowel and a regional lymphadenectomy were performed through a minor laparotomy. The incidence of primary small intestinal cancer has been relatively rare, and it is difficult to differentiate the disease in most cases. A laparoscopy is considered useful to diagnose and treat ileus after decompression of the intestinal tract, and this article describes the case with some discussion.
authors.affiliation: Department of Surgery, Tokai University School of Medicine, Tokyo Hospital, 1-2-5 Yoyogi Shibuya-ku Tokyo 151-0053, Japan. k-ishizu@tok.u-tokai.ac.jp
authors.forename: Kazuhiro
authors.initials: K
authors.lastname: Ishizu
authors.forename: Akiko
authors.initials: A
authors.lastname: Ishii
authors.forename: Yuichi
authors.initials: Y
authors.lastname: Okamoto
authors.forename: Hideo
authors.initials: H
authors.lastname: Matsui
authors.forename: Yasumasa
authors.initials: Y
authors.lastname: Kondoh
mesh_terms: D000230:Adenocarcinoma / Q000150:complications / Q000000981:diagnostic imaging / Q000473:pathology / Q000601:surgery*; D000368:Aged; D019299:Decompression, Surgical; D006801:Humans; D007078:Ileal Neoplasms / Q000150:complications / Q000000981:diagnostic imaging / Q000473:pathology / Q000601:surgery*; D045823:Ileus / Q000000981:diagnostic imaging / Q000209:etiology / Q000473:pathology / Q000601:surgery*; D010535:Laparoscopy / Q000379:methods*; D008297:Male; D011859:Radiography; D016896:Treatment Outcome