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26 paź 2011 · The patient now presented with abdominal pain and signs of intermittent intestinal obstruction. Colonoscopy 2 years before had been normal. Computed tomography was performed and revealed a large, obstructing tumor at the ileocecal valve. Colonoscopy revealed a round tumor 6 cm in diameter in the ascending colon involving the ileum (Figure A–B).
Ileocecal valve syndrome: This syndrome is characterized by a hypertonic or spasming valve, and it can lead to constipation, right lower quadrant pain, and sometimes alternating constipation and diarrhea. It's often associated with other functional gastrointestinal disorders and may be exacerbated by stress or certain foods.
Symptoms of small bowel cancer include: Abdominal pain. Yellowing of the skin and the whites of the eyes, called jaundice. Feeling very weak or tired. Nausea. Vomiting. Losing weight without trying. Blood in the stool, which might look red or black. Watery diarrhea. Skin flushing. There is a problem with information submitted for this request.
Small bowel cancer encompasses a series of malignant lesions that may be identified throughout the small intestine (SI). The small bowel lies between the stomach and the large intestine (LI/colon). It comprises three different sections, the duodenum, jejunum, and ileum, to the level of the ileocecal valve, which provides the terminal transition point between the SI and the LI.
These cancers are found predominantly in the rectum and cecum, rarely isolated to the ileocecal valve. NECs are notoriously aggressive cancers and carry a median survival of 10.4 months. Treatment includes surgical resection with the use of platinum-based chemotherapy for high-grade tumors.
Here, we detail an unusual presentation of a patient who was eventually diagnosed with an ileocecal valve NET after presenting with clinical signs and symptoms concerning for inflammatory bowel disease (IBD).
20 kwi 2024 · Hereditary colon malignancies are most commonly associated with Lynch syndrome and genetic polyposis syndromes. Screening colonoscopy is critical in identifying premalignant and early-stage lesions. Surgery is the mainstay of curative treatment, with chemotherapy being a necessary adjunct.
