Ileum Adenocarcinoma: A Rare Case Report
Gde Rastu Adi Mahartha1* , Gede Dian Astika Putera2 , & Made Darmawan2
Abstract
Background: Ileum adenocarcinoma is difficult to diagnose due to the length of the ileum which makes it difficult for diagnostic tools to enter the ileum. Surgery is the main management of Ileum adenocarcinoma. Poor prognostic factors are determined by old age, distal tumor location, large tumor size, stage, and lymph node involvement. In general, the management of Ileum adenocarcinoma is similar to that of colonic adenocarcinoma. Case presentation: A 55-year-old female complained of recurrent abdominal pain mainly in the right lower abdomen. Abdominal distension was found accompanied by darm contour and darm steifung and increased bowel noise. A mass with a diameter of 7 cm was found in the right lower abdomen, contrast-enhanced abdominal CT scan revealed a solid mass in the caecum with post-contrast enhancement, size 6.58×5.76×4.98 cm which extended to the ascending colon and caused dilatation of the Ileum loop. Right extended hemicolectomy followed by end-to-side ileum – colon transversum anastomose followed by 6 series adjuvant chemotherapy. Anatomical pathology results of the resection showed morphological features suitable for Adenocarcinoma, pT3pNx, and pMx with tumor cell-free resection margin. Conclusion: The case of Ileum adenocarcinoma is rare, exploratory laparotomy surgery is indicated in patients with high clinical suspicion of Ileum malignancy even though radiologically and endoscopically do not show positive results. Tumor markers are not specific and sensitive for the diagnosis of Ileum adenocarcinoma. Operative management of patients is tailored to the location and extension of the tumor.
Keywords
difficult diagnose; exploratory laparotomy; ileum adenocarcinoma; rare case; surgery.
Cite This Article
Mahartha, G. R. A., Putera, G. D. A., Darmawan, M. (2024). Ileum Adenocarcinoma: A Rare Case Report. International Journal of Scientific Advances (IJSCIA), Volume 5| Issue 6: Nov-Dec 2024, Pages 1125-1130, URL: https://www.ijscia.com/wp-content/uploads/2024/11/Volume5-Issue6-Nov-Dec-No.698-1125-1130.pdf
Volume 5 | Issue 6: Nov – Dec 2024
