Adenocarcinoma and Intestinal Duplication of the Ileum: Report of a Case Highlighting the Malignant Potential of an Uncommon Condition

Marcelo A Beltran

Department of Surgery, Serena Hospital, Chile
Department of Clinics, Catholic University of the North, Chile

^*Correspondance to: Marcelo A Beltran 

 PDF  Full Text DOI: 10.25107/2474-1647.1903

Abstract

Introduction: Gastrointestinal duplications are recognized, however uncommon developmental abnormalities, and may occur anywhere along the whole gastrointestinal tract, most commonly at the ileum. Their presentation in adults is an infrequent clinical condition. A recent review found only 15 cases of ileal duplication in adults published since 1884, with adenocarcinoma in 4 of those 15 cases (27%) highlighting the malignant potential of this uncommon condition.Case
Presentation: A 36-years-old female was admitted to the Emergency Unit. A Computed Abdominal Tomography (CAT) Scan demonstrated small bowel loops surrounding a tubular cystic structure which was compressing the adjacent bowel. Surgical exploration revealed multiple malignant implants covering the visceral and parietal peritoneum and infiltrating completely the omentum. At the ileal mesentery a tubular cystic whitish tumor was found. We unroofed the cyst and resected as much wall as we could, however a complete resection of the tumor was not considered. Thirty-four days after the operation the patient died. The histopathology of the cystic wall was compatible with the architecture of the intestinal wall extensively infiltrated by a mucinous adenocarcinoma moderately differentiated; a mucosal lining in parts atrophic and in parts infiltrated or replaced by adenocarcinoma was also observed.Conclusion: This uncommon malignancy developing in an even more uncommon developmental condition such as ileal duplication highlights the importance of diagnosis and appropriate treatment in the infancy because the threatening malignant potential when presenting late in life.

Keywords

Intestinal duplication; Ileal duplication in adults; Small bowel adenocarcinoma

Cite the article

Beltran MA. Adenocarcinoma and Intestinal Duplication of the Ileum: Report of a Case Highlighting the Malignant Potential of an Uncommon Condition. Clin Surg. 2018; 3: 1903.