Abstract
Background: Small bowel adenocarcinoma (SBA) is a rare but dreaded complication of Crohn's disease with a poor prognosis. The evidence has concluded that it is difficult to differentiate between SBA and benign strictures. Intraoperative and pathological diagnosis is the mainstay of treatment. Case presentation: The current case involves a 40-year-old male with a 12-year history of Crohn's disease who presented with symptoms of small bowel obstruction, which were confirmed by an abdominal C.T. scan. An exploratory laparotomy revealed a stricture, which raised the possibility of malignant disease. Histology revealed a well-differentiated adenocarcinoma. Conclusion: The rarity of small bowel adenocarcinoma in Crohn's disease patients necessitates a high index of suspicion in patients presenting with features of small bowel obstruction or strictures.
Digital Object Identifier (DOI)
10.59049/2790-0231.1140
Recommended Citation
Barqawi, Abdelkarim; Rostom, Alaa; and Sweileh, Moutaz
(2023)
"Small bowel adenocarcinoma in a Crohn's disease patient presenting as small bowel obstruction: a case report,"
Palestinian Medical and Pharmaceutical Journal: Vol. 8
:
Iss.
1
, Article 4.
Available at: https://doi.org/10.59049/2790-0231.1140