Abstract
We describe a patient who presented with iron deficiency anaemia in whom both upper and lower gastrointestinal investigation were initially negative. Management included successive blood transfusions. Repeat investigation six months later revealed caecal adenocarcinoma. At laparotomy, the patient was also found to have two separate primary synchronous adenocarcinomas of the proximal small bowel. Right hemicolectomy and excision of the small bowel lesions were carried out. The patient eventually succumbed to the disease six weeks after discharge from hospital.
Full text
PDF
Images in this article
Selected References
These references are in PubMed. This may not be the complete list of references from this article.
- Aghazarian S. G., Birely B. C. Adenocarcinoma of the small intestine: a plea for early diagnosis. South Med J. 1993 Sep;86(9):1067–1069. doi: 10.1097/00007611-199309000-00021. [DOI] [PubMed] [Google Scholar]
- Baillie C. T., Williams A. Small bowel tumours: a diagnostic challenge. J R Coll Surg Edinb. 1994 Feb;39(1):8–12. [PubMed] [Google Scholar]
- Donohue J. H. Malignant tumours of the small bowel. Surg Oncol. 1994 Apr;3(2):61–68. doi: 10.1016/0960-7404(94)90001-9. [DOI] [PubMed] [Google Scholar]
- Frost D. B., Mercado P. D., Tyrell J. S. Small bowel cancer: a 30-year review. Ann Surg Oncol. 1994 Jul;1(4):290–295. doi: 10.1007/BF02303567. [DOI] [PubMed] [Google Scholar]
- Garcia Marcilla J. A., Sanchez Bueno F., Aguilar J., Parrilla Paricio P. Primary small bowel malignant tumors. Eur J Surg Oncol. 1994 Dec;20(6):630–634. [PubMed] [Google Scholar]
- Matsuo S., Eto T., Tsunoda T., Kanematsu T., Shinozaki T. Small bowel tumors: an analysis of tumor-like lesions, benign and malignant neoplasms. Eur J Surg Oncol. 1994 Feb;20(1):47–51. [PubMed] [Google Scholar]
- Neugut A. I., Santos J. The association between cancers of the small and large bowel. Cancer Epidemiol Biomarkers Prev. 1993 Nov-Dec;2(6):551–553. [PubMed] [Google Scholar]