抄録
A 50-year-old woman visited a clinic with fever for 2 weeks. A urinary tract infection was suspected. In spite of antibiotics administration, high fever was persisting. Therefore she visited our hospital. She had a temperature of 38 degrees, anemia, and hypoalbuminemia. In spite of various inspections, we could not find the cause of high fever. Because of the lower abdominal pain had persisted, CT was re-examined, and small-bowel wall thickening was detected.
A stenosing ulceration of small- bowel detected by DBE was diagnosed as endocrine cell carcinoma. The chemotherapy with CPT-11+CDDP was performed after small-bowel resection.
However small-bowel tumor is a rare focus of undetermined fever, it is necessary to be considered as a differential diagnosis.