TITLE:
Synchronous Adenocarcinomas of the Jejunum and Sigmoid Colon—A Rare Case
AUTHORS:
Nisar Ahmad Chowdri, Rayees Ahmad Dar, Munir Ahmad Wani, Fazl Qadir Parray
KEYWORDS:
Synchronous, Adenocarcinoma, Colon, Jejunum
JOURNAL NAME:
International Journal of Clinical Medicine,
Vol.5 No.12,
June
20,
2014
ABSTRACT:
Primary
adenocarcinomas of the small bowel are rare. Because of their rarity,
non-specific symptoms and diagnostic difficulty, small bowel tumors are often
diagnosed and treated late in their course. The diagnostic difficulty is
increased when these tumors arise in association with primary synchronous
tumors of the colon. We present a case of a 17-year-old female who was
evaluated for anemia and bleeding per rectum. Colonoscopy revealed multiple
colonic polyps. Intraoperatively, she was surprisingly found to be having a
synchronous jejunal growth apart from multiple colonic polyoid lesions. Total
colectomy was performed along with resection of jejunal growth. Histopathology
of colonic specimen revealed multiple polypoid projections with one polyp
showing adenocarcinoma and rest severe dysplasia. Histopathology of jejunal
growth revealed poorly-differentiated adenocarcinoma. Very rarely, cases have
been reported in literature, where the primary adenocarcinoma of the jejunum
developed synchronously with colonic adenocarcinoma, and both treated
surgically on the same occasion.