Laparoscopic treatment of mucinous adenocarcinoma of jejunum associated with celiac disease. Case report

Vecchio, Rosario and Marchese, Salvatore and Gangemi, Pietro and Alongi, G. and Ferla, Francesco and Spataro, C. and Intagliata, Eva (2012) Laparoscopic treatment of mucinous adenocarcinoma of jejunum associated with celiac disease. Case report. Il giornale di chirurgia, 33 (4). pp. 126-128. ISSN 1971-145X

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Abstract

Mucinous adenocarcinoma of the small bowel is very rare, and only few cases have been described in the literature. Association of this tumor with celiac disease has never been published. The authors report a unique case of jejunal mucinous adenocarcinoma in which a concomitant celiac disease has been histologically recognized. The difficult diagnosis, the role of laparoscopic surgery and the relationship between small bowel tumors and celiac disease are discussed. A 49-year-old man presented with recurrent melena, nausea, vomiting and anemia. A stenosis of the jejunum was documented by means of CT scan and video capsule enteroscopy. A laparoscopy was scheduled. A tumor, found in the first jejunal loop, was removed by laparoscopic surgery. Histopathology revealed a rare mucinous adenocarcinoma associated with epithelial changes secondary to celiac disease. Although small bowel tumors are rare entity, in patients with celiac disease complaining of symptoms related to altered intestinal transit or occult bleeding, an appropriate work-up should be planned for diagnosis. Mucinous type intestinal adenocarcinoma, even if never published before, could be observed. Laparoscopic surgery is often essential for the diagnosis and treatment.

Item Type:	Article
Uncontrolled Keywords:	Mucinous adenocarcinoma - Jejunum - Celiac disease - Laparoscopy
Subjects:	600 Tecnologia - Scienze applicate > 610 Medicina e salute (Classificare qui la tecnologia dei servizi medici) > 617 Rami vari della medicina; Chirurgia > 617.4 Chirurgia secondo il Sistema e Regioni
Depositing User:	Nadia Del Gobbo
Date Deposited:	16 Jun 2016 10:18
Last Modified:	16 Jun 2016 10:18
URI:	http://eprints.bice.rm.cnr.it/id/eprint/7899

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