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Ileal adenocarcinoma in a young pregnant woman: A rare case report

Primary intestinal malignancies account for only 1%–3% of all malignant gastrointestinal tumors. Adenocarcinomas are uncommonly located in the ileum. Ileal adenocarcinoma (IA) is rare and difficult to diagnose because of its location. IA is common in older men and rare in young pregnant women. A 23-...

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Autores principales: Xiao, Chao, Cheng, Qijun, Cao, Chengjian, Xiao, Xue, Zhang, Yutao
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Frontiers Media S.A. 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9905710/
https://www.ncbi.nlm.nih.gov/pubmed/36761939
http://dx.doi.org/10.3389/fonc.2023.1066153
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author Xiao, Chao
Cheng, Qijun
Cao, Chengjian
Xiao, Xue
Zhang, Yutao
author_facet Xiao, Chao
Cheng, Qijun
Cao, Chengjian
Xiao, Xue
Zhang, Yutao
author_sort Xiao, Chao
collection PubMed
description Primary intestinal malignancies account for only 1%–3% of all malignant gastrointestinal tumors. Adenocarcinomas are uncommonly located in the ileum. Ileal adenocarcinoma (IA) is rare and difficult to diagnose because of its location. IA is common in older men and rare in young pregnant women. A 23-year-old pregnant woman was hospitalized several times for repeated vomiting and abdominal pain. Her symptoms were relieved after symptomatic treatment. She exhibited no typical manifestations of intestinal obstruction, such as abdominal distension, difficulty passing gas and defecation. Unfortunately, she was misdiagnosed with acute gastroenteritis. On the second day after delivery, the patient stopped passing gas and computed tomography (CT) revealed an intestinal obstruction. She was treated as paralytic ileus. However, in view of failed conservative management, she was decided for an exploratory laparotomy. A malignant ileal tumor 5cm from the ileocecal valve was found incidentally and was surgically excised accompanied with End-to-side anastomosis of ileal and transverse colon. The operation lasted 195 minutes. Pathological examination revealed an IA. Pregnant woman who experience symptoms of intestinal obstruction should be alert to the possibility of malignancy in the small intestine. IA is an insidious tumor in pregnant women. An “IA triad” can be defined as refractory vomiting, vague abdominal pain, and weight loss (or inadequate weight gain in pregnant women). Pregnant women with an IA triad should undergo investigation with endoscopy or, if necessary, magnetic resonance imaging (MRI).
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spelling pubmed-99057102023-02-08 Ileal adenocarcinoma in a young pregnant woman: A rare case report Xiao, Chao Cheng, Qijun Cao, Chengjian Xiao, Xue Zhang, Yutao Front Oncol Oncology Primary intestinal malignancies account for only 1%–3% of all malignant gastrointestinal tumors. Adenocarcinomas are uncommonly located in the ileum. Ileal adenocarcinoma (IA) is rare and difficult to diagnose because of its location. IA is common in older men and rare in young pregnant women. A 23-year-old pregnant woman was hospitalized several times for repeated vomiting and abdominal pain. Her symptoms were relieved after symptomatic treatment. She exhibited no typical manifestations of intestinal obstruction, such as abdominal distension, difficulty passing gas and defecation. Unfortunately, she was misdiagnosed with acute gastroenteritis. On the second day after delivery, the patient stopped passing gas and computed tomography (CT) revealed an intestinal obstruction. She was treated as paralytic ileus. However, in view of failed conservative management, she was decided for an exploratory laparotomy. A malignant ileal tumor 5cm from the ileocecal valve was found incidentally and was surgically excised accompanied with End-to-side anastomosis of ileal and transverse colon. The operation lasted 195 minutes. Pathological examination revealed an IA. Pregnant woman who experience symptoms of intestinal obstruction should be alert to the possibility of malignancy in the small intestine. IA is an insidious tumor in pregnant women. An “IA triad” can be defined as refractory vomiting, vague abdominal pain, and weight loss (or inadequate weight gain in pregnant women). Pregnant women with an IA triad should undergo investigation with endoscopy or, if necessary, magnetic resonance imaging (MRI). Frontiers Media S.A. 2023-01-25 /pmc/articles/PMC9905710/ /pubmed/36761939 http://dx.doi.org/10.3389/fonc.2023.1066153 Text en Copyright © 2023 Xiao, Cheng, Cao, Xiao and Zhang https://creativecommons.org/licenses/by/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
spellingShingle Oncology
Xiao, Chao
Cheng, Qijun
Cao, Chengjian
Xiao, Xue
Zhang, Yutao
Ileal adenocarcinoma in a young pregnant woman: A rare case report
title Ileal adenocarcinoma in a young pregnant woman: A rare case report
title_full Ileal adenocarcinoma in a young pregnant woman: A rare case report
title_fullStr Ileal adenocarcinoma in a young pregnant woman: A rare case report
title_full_unstemmed Ileal adenocarcinoma in a young pregnant woman: A rare case report
title_short Ileal adenocarcinoma in a young pregnant woman: A rare case report
title_sort ileal adenocarcinoma in a young pregnant woman: a rare case report
topic Oncology
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9905710/
https://www.ncbi.nlm.nih.gov/pubmed/36761939
http://dx.doi.org/10.3389/fonc.2023.1066153
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