Jurnalul de Chirurgie
 Jurnalul de chirurgie
Aparitie trimestriala in a doua luna a trimestrului
Published quarterly in the second month of the quarter
ISSN: 1584 - 9341 Vol.10 Nr.3 - Iulie-Septembrie 2014 | sâmbătă, 19 ianuarie 2019
ISSN: 1584 - 9341 Vol.10 No.3 - July-September 2014
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SMALL BOWEL MALIGNANT TUMORS – ABOUT TWO CASES
R.C. Tiutiuca, Iuliana Eva
Military Emergency Hospital Iaşi
Jurnalul de chirurgie 2008; 4 (2):109-113
Full text:
Format PDF (Română/Romanian)

Abstract:

Small bowel tumors are rare and clinically silent for long period of time. The diagnosis of these tumors is a challenge for every physician. The diagnosis is rarely documented preoperatively. We present two cases of malignant small bowel tumors treated by surgical resection. A 67 years old male patient was admited in our clinic for intestinal obstruction with a small bowel tumor complicated with intestinal obstruction. The patient was operated in emergency; the intraoperative exploration revealed a small obstructive tumor situated in ileo-cecal junction. Right colectomy with ielo-colic anastomosis has been performed. The pathological exam revealed the diagnosis of mucinous adenocarcinoma pT2N0Mx. The other case was a 66 years old male patient admited in our department for non-specific digestive symptoms. A lot of explotratory techniques were performed but didn’t succeed to established the diagnosis. Explorator laparotomy revealed a jeunal tumor associated with Meckel diverticulum. A large enterectomy with jejunal-jejunal anastomosis has been perfomed. The patological exam revealed a well differentiated adenocarcinoma pT3N0Mx. We also review some data from literature. Conclusions: Small bowel tumors are difficult to diagnosed. The symptoms are non-specific; some cases are complicated with intestinal obstruction or digestive bleeding. Surgical resection associated with lymphadenectomy is the treatment of choice.

KEY WORDS: SMALL BOWEL, MALIGNANT TUMORS

Correspondence to: Răzvan Tiutiuca MD; Military Emergency Hospital Iaşi; e-mail:



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Jurnalul de chirurgie [Journal of Surgery] by Editorial Board, Department of Surgery University of Medicine and Pharmacy Iasi, E. Tarcoveanu, R. Moldovanu is licensed under a Creative Commons Attribution-NonCommercial-NoDerivs 3.0 Unported License.
Based on a work at www.jurnaluldechirurgie.ro.