1986 Volume 28 Issue 7 Pages 1627-1632_1
A 67-year-old man presented with crampy abdominal pain. A barium enema performed by an attending physician disclosed that he had an intussusception. The intussusception was reduced by the barium enema and the patient was referred to our clinic for further investigation. A barium enema and a barium meal study carried out at our clinic disclosed a polypoid lesion in the terminal ileum. A colonofiberscopic examination revealed that there was a white-yellowish polypoid lesion, the size of which was about 2.5 cm in diameter, at 10 cm oral to the ileocaecal valve. Histopathological diagnosis of biopsied specimen was tubular adenoma with villious change. Ileocaecal resection was done and six polypoid lesions were found in the resected specimen. The size of the polypoid lesions ranged from 0.2 to 2.5 cm in their diameter. All the polypoid lesions were tubular adenoma with villous change. Problems in the diagnosis of small bowel tumors were briefly discussed.
