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-...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
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Frontiers Media S.A.
2023-01-01
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| Series: | Frontiers in Oncology |
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| Online Access: | https://www.frontiersin.org/articles/10.3389/fonc.2023.1066153/full |
| _version_ | 1828054623647170560 |
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| author | Chao Xiao Chao Xiao Qijun Cheng Chengjian Cao Xue Xiao Yutao Zhang |
| author_facet | Chao Xiao Chao Xiao Qijun Cheng Chengjian Cao Xue Xiao Yutao Zhang |
| author_sort | Chao Xiao |
| collection | DOAJ |
| 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). |
| first_indexed | 2024-04-10T20:26:34Z |
| format | Article |
| id | doaj.art-9911c123e4cd4ea1849394501eaea6c3 |
| institution | Directory Open Access Journal |
| issn | 2234-943X |
| language | English |
| last_indexed | 2024-04-10T20:26:34Z |
| publishDate | 2023-01-01 |
| publisher | Frontiers Media S.A. |
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| series | Frontiers in Oncology |
| spelling | doaj.art-9911c123e4cd4ea1849394501eaea6c32023-01-25T10:25:38ZengFrontiers Media S.A.Frontiers in Oncology2234-943X2023-01-011310.3389/fonc.2023.10661531066153Ileal adenocarcinoma in a young pregnant woman: A rare case reportChao Xiao0Chao Xiao1Qijun Cheng2Chengjian Cao3Xue Xiao4Yutao Zhang5Department of Obstetrics and Gynecology, West China Second University Hospital, Sichuan University, Chengdu, ChinaDepartment of Obstetrics and Gynecology, The First People's Hospital of Zigong, Zigong, ChinaDepartment of Obstetrics and Gynecology, The First People's Hospital of Zigong, Zigong, ChinaClinical Research Laboratory & Department of Clinical Examination, The First People's Hospital of Zigong, Zigong, ChinaDepartment of Obstetrics and Gynecology, West China Second University Hospital, Sichuan University, Chengdu, ChinaDepartment of Pathology, The First People’s Hospital of Zigong, Zigong, ChinaPrimary 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).https://www.frontiersin.org/articles/10.3389/fonc.2023.1066153/fullabdominal paincase reportileal neoplasmsintestinal obstructionpregnancyvomiting |
| spellingShingle | Chao Xiao Chao Xiao Qijun Cheng Chengjian Cao Xue Xiao Yutao Zhang Ileal adenocarcinoma in a young pregnant woman: A rare case report Frontiers in Oncology abdominal pain case report ileal neoplasms intestinal obstruction pregnancy vomiting |
| 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 | abdominal pain case report ileal neoplasms intestinal obstruction pregnancy vomiting |
| url | https://www.frontiersin.org/articles/10.3389/fonc.2023.1066153/full |
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