Abstract
Recently primary adenocarcinoma of the small intestine has been increasingly reported on, however, it is still a relatively rare neoplasm. Here recent experience with a case of the disease is described with a review of the literature.
A 37-year-old woman was admitted to the hospital because of nausea and vomiting. Upper abdominal series and US of the abdomen revealed a carcinoma of the jejunum. On laparotomy the tumor was found locating at about 40cm from Treitz' ligament, presenting as a whole-circumference obstruction. Partial resection of the jejunum, dissection of regional lymph node, and jejuno-jejunostomy were performed. No lymph node metastasis or distant metastasis was presented.
In this case, it took about 5 months for making the definite diagnosis from the onset. If we encounter a patient who has an intestinal obstruction, who complains some gastrointestinal symptoms, or whose occult blood test results in positive, appropriate exploration of the small intestine would be important, entertaining a possibility of this disease.
