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A case of primary small intestinal cancer diagnosed by laparoscopy


image: A case of primary small intestinal cancer diagnosed by laparoscopy

Source: mj.med.u-tokai.ac.jp
Topic: Small intestine
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Sort Desciption: Primary small intestinal cancer is a rare entity among digestive tract malignant tumors, in particular, among adenocarcinoma. Since it scarcely develops initial symptoms and preoperative diagnosis is difficult ...

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Primary small intestinal cancer is a rare entity among digestive tract malignant tumors, in particular, among adenocarcinoma. Since it scarcely develops initial symptoms and preoperative diagnosis is difficult, many patients are found in the already advanced state with poor prognosis 1 . Recently, as endoscopic devices and techniques are advanced, more primary small intestinal cancers can be diagnosed in the comparatively early stage and have been reported by preoperative small intestine endoscopy 2, 3 . However, it requires relatively higher techniques,thus, is far from being generalized. In this study, we performed sufficient bowel decompression by the preoperative ileus tube on a patient with primary small intestinal cancer caused by ileus, identified the obstruction site by contrast radiography of the small intestine, made a definitive diagnosis by laparoscopic surgery, and successfully performed radical surgery including sufficient lymph node dissection. CASE REPORT The case was a 61-year-old female. On December 2, 2002, the patient visited the nearby clinic with a chief complaint of nausea and vomiting. Upper gastrointestinal tract endoscopy and abdominal ultrasound examinations did not show any abnormality. On December 11, abdominal pain and abdominal distension were advanced and abdominal x-ray revealed marked small intestinal gas. Lower gastrointestinal tract contrast radiography was ...

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