Document Detail


Mucinous adenocarcinoma at the ileocecal valve mimicking Crohn's disease.
MedLine Citation:
PMID:  7924755     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Two patients presented to their clinicians with bowel complaints thought to be suggestive of Crohn's disease. The patients were sent for radiological studies to confirm that diagnosis. The radiologic findings in both patients were thought to be consistent with Crohn's disease, although not classical. No further diagnostic studies were initially undertaken. Each patient suffered small bowel obstruction and at surgery each was found to have a mucinous adenocarcinoma of the ileocecal valve. No evidence of Crohn's disease was found. At pathologic examination some interesting characteristics of the tumors were observed, which perhaps accounted for the misdiagnosis of Crohn's disease. It also was evident that the clinical information supplied to the radiologist may have influenced the radiologic interpretations. These cases stress the importance of obtaining tissue diagnoses in situations where radiographic findings are consistent but atypical with the clinical diagnosis of Crohn's disease.
Authors:
K M Horton; B Jones; T M Bayless; A J Lazenby; E K Fishman
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Publication Detail:
Type:  Case Reports; Journal Article; Review    
Journal Detail:
Title:  Digestive diseases and sciences     Volume:  39     ISSN:  0163-2116     ISO Abbreviation:  Dig. Dis. Sci.     Publication Date:  1994 Oct 
Date Detail:
Created Date:  1994-11-10     Completed Date:  1994-11-10     Revised Date:  2005-11-16    
Medline Journal Info:
Nlm Unique ID:  7902782     Medline TA:  Dig Dis Sci     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  2276-81     Citation Subset:  AIM; IM    
Affiliation:
Department of Radiology, Johns Hopkins Hospital, Baltimore, Maryland 21287.
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MeSH Terms
Descriptor/Qualifier:
Adenocarcinoma, Mucinous / pathology,  radiography*
Adult
Crohn Disease / pathology,  radiography*
Diagnosis, Differential
Humans
Ileal Neoplasms / pathology,  radiography*
Ileocecal Valve / pathology,  radiography*
Lymphatic Metastasis
Male
Middle Aged

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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