A case of diffusely infiltrating ileal cancer

Abstract

The case is a 70–year–old woman. In October 1992, she was diagnosed as having metastatic cancer of the liver and paraaortic lymph nodes, but the primary site was uncertain. In January 1993, she was admitted to our hospital with the diagnosis of perforative peritonitis. We performed on emergency surgery. Because of thickening and stiffening of the wall with adhesion of pus in the distal ileum, we performed ileocecal resection. The pathologic diagnosis after the operation was diffusely infiltrating primary ileal cancer. The cancer of the small intestine growing diffusely in the longitudinal direction along the intestinal canal wall is extremely rare.