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Jejunal adenocarcinoma

Case contributed by Vitalii Rogalskyi
Diagnosis almost certain

Presentation

Constant abdominal distension, epigastric pain.

Patient Data

Age: 60 years
Gender: Female

CT enterography

ct

CT enterography demonstrates concentric wall thickening of proximal portion of jejunum with lumen narrowing. Several small regional lymph nodes.

Gallbladder is full of stones.

Other organs are unremarkable. 

Annotated images

Annotated image

Segmental jejunal wall thickening (red arrows).

Case Discussion

CT enterography is a good non-invasive technique for detection of small bowel tumors. 

This case shows pathological wall thickening of short segment of the jejunum which is very suspicious of tumor.

Surgical resection was performed. The final diagnosis is adenocarcinoma of the jejunum.

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