Abstract
A 66-year-old man had presented with intermittent abdominal pain for 6 months. One month ago, he was referred to an emergency room because of severe abdominal pain and vomiting. X-ray and CT scan showed a remarkably dilated small bowel and small bowel obstruction was suspected. He was admitted and effective conservative therapy was performed. However, after being discharged, his symptoms and small bowel obstruction soon recurred. Therefore, laparoscopic surgery was performed in order to diagnose and treat the small bowel obstruction. The laparoscope revealed small intestinal cancer that had a serosal invasion. Resection of the small bowel and anastomosis were done under a 4-cm minimal incision of the abdominal wall. Small bowel cancer is a rare disease and it is often difficult to diagnose since the small bowel is usually hard to identify by fiberscope. Recently, minimal invasive surgeries for small bowel disease have often been reported. We also report a case of small bowel cancer for which laparoscopic surgery was very useful.
