Abstract
Primary carcinoma of the ileum is less common compared with those of other sites of the gastrointestinal tract.Most of those cases are diagnosed after laparotomy under an advanced state such as ileus. Here a rare case of primary carcinoma of the ileum diagnosed preoperatively by endoscopic biopsy is described.
A 74-year-old man complaining of abdominal pain and constipation, was found to have a tumor at the terminal ileum by double contrast radiography. With endoscopic biopsy the definite diagnosis of carcinoma of the ileum was made. Ileocolectomy and lymph node dissection were carried out. Histopatholigical findings revealed that the lesion was a well-differentiated adenocarcinona.
Primary carcinoma of the ileum often occurs in the terminal ileum. This case suggests that the careful radiographic or endoscopic study near the terminal ileum is important for the early diagnosis of this disease.
