1.A Case of Primary Jejunal Adenocarcinoma in Children.
Myung Hwan CHO ; Yong Sik MIN ; Kyung Bae PARK ; Joon Soo PARK ; Young Chang KIM
Korean Journal of Pediatric Gastroenterology and Nutrition 1998;1(1):125-132
Primary adenocarcinoma of the jejunum which accounts for only approximately 3% of all gastrointestinal tract malignancies, is distinctly unusual. The rarity and the non-specific symptoms of this cancer, which are the major factors contributing to its poor prognosis, make the diagnosis difficult. As the prognosis of primary adenocarcinoma of the jejunum, once metastasized, is poor, a greater awareness of the possibility of a jejunal cancer must accompany aggressive diagnostic and surgical procedure. We report our experience of a child with primary adenocarcinoma of the jejunum with a brief review of the literature.
Adenocarcinoma*
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Child*
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Diagnosis
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Gastrointestinal Tract
;
Humans
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Jejunal Neoplasms
;
Jejunum
;
Prognosis
3.Clinical Characteristics of Lower Gastrointestinal Cancer in Crohn's Disease: Case Series of 5 Patients.
Ji Min CHOI ; Changhyun LEE ; Yoo Min HAN ; Minjong LEE ; Dong Kee JANG ; Jeehye KWON ; Jong Pil IM ; Sang Gyun KIM ; Joo Sung KIM ; Hyun Chae JUNG
Intestinal Research 2013;11(2):127-133
Crohn's disease is a chronic inflammatory disease that can involve the entire gastrointestinal tract. Several studies indicate that Crohn's patients with long disease duration have an increased risk of small bowel or colorectal cancer. In Korea, only a few cases of Crohn's disease-related small bowel or colorectal cancer have been reported. Here, we described 3 cases of colorectal cancer and 2 cases of small bowel cancer in patients with Crohn's disease. Among 5 patients, 3 had Crohn's disease-related lower gastrointestinal malignancy and the other 2 had sporadic lower gastrointestinal malignancies. Since the diagnosis of Crohn's disease-related lower gastrointestinal malignancy tends to be delayed, the development of malignancy should be considered in patients with long duration of Crohn's disease if patients have refractory symptoms despite intensive medical treatment. Surgical consultation should not be delayed.
Colorectal Neoplasms
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Crohn Disease
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Gastrointestinal Neoplasms
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Gastrointestinal Tract
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Humans
;
Ileal Neoplasms
;
Jejunal Neoplasms
;
Korea
4.A Case of Primary Jejunal Mucinous Adenocarcinoma Diagnosed by Single Balloon Enteroscopy.
Youngju LEE ; Jae Young JANG ; Sung Hyung HA ; Seok Ho DONG ; Hyo Jong KIM ; Byung Ho KIM ; Young Woon CHANG ; Rin CHANG
Korean Journal of Gastrointestinal Endoscopy 2010;40(3):199-202
The small bowel rarely develops neoplasm, and tumor of the small bowel accounts for only 1~2% of all gastrointestinal neoplasm. Most cases of jejunal and ileal adenocarconoma are of the well or moderately differentiated type. Mucinous adenocarcinoma is diagnosed when the amount of extracellular mucin in a tumor is over 50% and its incidence in the small bowel is very low. A 49-year-old man presented with postprandial abdominal pain and vomiting for the previous 2 months. The abdominal computed tomography scan showed about a 6.5 cm-sized mass at the proximal jejunum. Single balloon enteroscopy was done preoperatively for making the diagnosis and the biopsy showed mucinous adenocarcinoma of the proximal jejunum. Under the diagnosis of primary jejunal cancer. We report here on our case for which a definite diagnosis was made before surgery by performing single balloon enteroscopy, and we review the relevant medical literature.
Abdominal Pain
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Adenocarcinoma, Mucinous
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Biopsy
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Gastrointestinal Neoplasms
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Humans
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Incidence
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Jejunal Neoplasms
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Jejunum
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Middle Aged
;
Mucins
;
Vomiting
5.Intussusception Secondary to Jejunal Lymphangioma in a 13-year-old Girl.
Ho Sung PARK ; Ho LEE ; Woo Sung MOON ; Seung Chan LEE ; Woo Bong CHOI ; Hyun Woong CHOI
The Korean Journal of Gastroenterology 2007;49(4):256-259
Lymphangioma is a benign tumor composed of numerous small or large thin-walled lymphatic spaces. It shows a predilection for head, neck, and axilla. Jejunal lymphangioma in children is extremely rare. We present a case of 13-year-old girl with jejuno-jejunal intussusception secondary to lymphangioma in jejunum. To our knowledge, this is the second report of jejunal lymphangioma causing intussusception in a child.
Adolescent
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Female
;
Humans
;
Intussusception/*etiology/surgery
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Jejunal Diseases/*etiology/surgery
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Jejunal Neoplasms/*complications/*diagnosis/pathology
;
Lymphangioma/*complications/*diagnosis/pathology
;
Tomography, X-Ray Computed
6.A Case of Primary Jejunal Adenocarcinoma Diagnosed by Enteroscopy using Pediatric Colonoscope.
Chung Hwon LEE ; Pum Soo KIM ; Jung Il LEE ; Seok JEONG ; Jin Woo LEE ; Kye Sook KWON ; Don Haeng LEE ; Hyung Gil KIM ; Yong Woon SHIN ; Young Soo KIM ; Joon Mee KIM ; Yong Sun JEON
The Korean Journal of Gastroenterology 2006;48(5):365-368
A 39-year-old man presented with dizziness and melena for 2 months. Abdominal CT scan showed constrictive wall thickening with enhancement and proximal loop dilatation of the jejunum. On endoscopic examination, there was large amount of bile stained fluid in duodenum. Enteroscopy using pediatric colonoscope demonstrated an encircling mass with obstruction approximately 20 cm distal to the ligament of Treitz. Endoscopic jejunal biopsy showed moderately differentiated adenocarcinoma. Small intestinal adenocarcinoma is uncommonly encountered in clinical practice. Because small intestine is relatively inaccessible via routine endoscopy, diagnosis of small intestinal neoplasm is often delayed for several months after the onset of symptoms. Most of the patients are diagnosed in advanced stage. Therefore, when a small bowel neoplasm is suspected, enteroscopy is the most useful study. If enteroscope is not available, enteroscopy using pediatric colonoscope may permit earlier preoperative diagnosis. We report a case of primary jejunal adenocarcinoma diagnosed by endoscopic biopsy using pediatric colonoscope.
Adenocarcinoma/*pathology/radiography/surgery
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Adult
;
Colonoscopes
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Endoscopy, Gastrointestinal
;
Humans
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Jejunal Neoplasms/*pathology/radiography/surgery
;
Male
7.Segmental Jejunal Lipomatosis: A Rare Cause of Intestinal Obstruction.
Rajgopal SHENOY ; Gabriel RODRIGUES ; Mahesh GOPASHETTY ; Lavanya KANNAIYAN ; Srinivas RAO
Yonsei Medical Journal 2003;44(2):359-361
A rare case of a segmental small intestinal (jejunal) lipomatosis is described. A 33-year-old male was admitted with a clinical diagnosis of an acute intestinal obstruction. A plain erect abdominal x-ray showed multiple air-fluid levels. On an exploratory laparotomy, a jejunojejunal intussusception was found secondary to a segmental submucosal lipomatosis. This was treated by a segmental resection and anastomosis, which resulted in a complete cure. Here we present this case with a review of the relevant literature.
Adult
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Human
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Intestinal Obstruction/*etiology
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Jejunal Neoplasms/*complications/pathology
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Lipomatosis/*complications/pathology
;
Male
8.Jejunal Intussusception with Gastrointestinal Bleeding Caused by Metastatic Lung Cancer.
Il Seon YUN ; Jee Young LEE ; Jae Sung LEE ; Ju Young LEE ; Jin Myung BYUN ; Eun Jung KIM ; Jin Young PARK ; Jean Kyung PARK
The Korean Journal of Gastroenterology 2008;51(6):377-380
Intestinal intussusception caused by metastatic tumor is uncommon. Symptomatic small bowel metastases from lung cancer have been rarely reported. Here we report a case of intussusception with gastrointestinal bleeding induced by jejunal metastasis of non-small cell lung cancer with a review of the literature. A 52-year-old man was admitted to our hospital because of melena. He had underwent right pneumonectomy and received systemic chemotherapy with radiotherapy for squamous cell lung cancer. Esophagogastroduodenoscopy and colonoscopy failed to reveal bleeding focus. Abdominal CT scan revealed jejunal intussusception and histologic examination of resected jejunum showed metastatic mass from lung cancer. In patients with small bowel obstruction and history of malignancies, possibility of small bowel metastatic tumor should be considered.
Gastrointestinal Hemorrhage/*etiology
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Humans
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Intussusception/*etiology/radiography/surgery
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Jejunal Diseases/*etiology/radiography/surgery
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Jejunal Neoplasms/complications/pathology/*secondary
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Lung Neoplasms/*complications/pathology/surgery
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Male
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Middle Aged
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Tomography, X-Ray Computed
9.A Surgically Resected Large Sarcomatoid Carcinoma of the Jejunum: A Case Report and Literature Review.
Hyung Mo LEE ; Min Sun CHO ; Yong Il KIM
Journal of Gastric Cancer 2015;15(2):143-146
Sarcomatoid carcinoma of the small intestine is rare, and only 30 cases have been reported to date. This disease generally exhibits a very poor prognosis. Here we report the case of a 67-year-old man with a sarcomatoid carcinoma in the jejunum, who was hospitalized for diarrhea, fever, nausea, and vomiting. The tumor was located at the jejunum and had a large round shape with geographic necrosis. It involved the entire wall of the small intestine and had directly invaded the neighboring sigmoid colon. Both lobes of the liver had multiple metastases. The patient underwent surgical resection of the jejunum. On immunohistochemical analysis, the tumor was positive for epithelial and mesenchymal markers. The patient died from rapid progression of the liver metastases 6 weeks after the surgery.
Aged
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Carcinosarcoma
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Colon, Sigmoid
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Diarrhea
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Fever
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Humans
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Intestine, Small
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Jejunal Neoplasms
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Jejunum*
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Liver
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Nausea
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Necrosis
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Neoplasm Metastasis
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Prognosis
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Vomiting
10.Small Intestinal Perforation Caused by Primary Jejunal MALT Lymphoma.
Won Cheol JANG ; You Sun KIM ; Seong Woo HONG ; Yun Kyung KANG
The Korean Journal of Gastroenterology 2008;51(4):215-218
No abstract available.
Endoscopy, Digestive System
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Female
;
Humans
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Intestinal Perforation/*diagnosis/etiology/surgery
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Jejunal Diseases/*diagnosis/etiology/surgery
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Jejunal Neoplasms/complications/*diagnosis/pathology
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Lymphoma, B-Cell, Marginal Zone/complications/*diagnosis/pathology
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Middle Aged
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Tumor Markers, Biological/analysis