Eighteen Month Interval Growth of Terminal Ileal Primary Adenocarcinoma: A Consideration for Current Screening Guidelines. [Review]

MedStar author(s):
Citation: Case Reports Gastroenterology. 11(3):780-785, 2017 Sep-DecPMID: 29606935Institution: MedStar Washington Hospital CenterDepartment: Medicine/Gastroenterology | Medicine/PediatricsForm of publication: Journal ArticleMedline article type(s): Journal Article | ReviewYear: 2017ISSN:
  • 1662-0631
Name of journal: Case reports in gastroenterologyAbstract: Primary adenocarcinoma of the small intestine comprises one of the rarest gastrointestinal malignancies. Further, the terminal ileum is very seldom implicated. This entity occurs sporadically and evades traditional colonoscopic evaluation in which the terminal ileum is not visualized. Herein, a case of interval development of primary terminal ileal adenocarcinoma over a 2-year period is reported as followed by direct endoscopic and colonoscopic visualization. This case demonstrates cecal involvement not found on initial evaluation without the provision of terminal ileum intubation. Relevant guidelines regarding the evaluation of the terminal ileum in routine colonoscopy are reviewed.All authors: Baba T, Kallus S, Lee A, Nazari M, Rosenblum JFiscal year: FY2018Digital Object Identifier: Date added to catalog: 2018-05-08
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Journal Article MedStar Authors Catalog Article 29606935 Available 29606935

Primary adenocarcinoma of the small intestine comprises one of the rarest gastrointestinal malignancies. Further, the terminal ileum is very seldom implicated. This entity occurs sporadically and evades traditional colonoscopic evaluation in which the terminal ileum is not visualized. Herein, a case of interval development of primary terminal ileal adenocarcinoma over a 2-year period is reported as followed by direct endoscopic and colonoscopic visualization. This case demonstrates cecal involvement not found on initial evaluation without the provision of terminal ileum intubation. Relevant guidelines regarding the evaluation of the terminal ileum in routine colonoscopy are reviewed.

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