| Small Bowel Adenocarcinoma in a Patient with Coeliac Disease: Case Report and Review of the Literature. | |
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MedLine Citation:
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PMID: 21060711 Owner: NLM Status: Publisher |
Abstract/OtherAbstract:
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Coeliac disease (CD) is an autoimmune disorder which leads to chronic inflammation of the gut. Furthermore, CD is associated with upper gastrointestinal malignancies, particularly lymphoma of the small intestine. Besides lymphoma, an increased frequency of associated small bowel carcinoma has been described. Here we report the case of a 70-year-old male suffering from CD who was treated with a gluten-free diet presenting with complaints of nausea, vomiting and weight loss of about 8 kg in two months. He underwent esophagogastroduodenoscopy, which identified distention of the stomach and duodenum and in the pars horizontalis a distinct obstruction was suggestive. However, histopathological examination showed a normal mucosal membrane. Additionally, a computed tomography scan of the abdomen was performed which showed an expanded stomach and duodenum up to the ligament of Treitz. During an explorative laparotomy a small tumor was palpated near the ligament of Treitz. Subsequently, a duodenal segment resection was performed. After surgery, the patient recovered well and left our hospital in good condition. |
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Authors:
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Milan Richir; Ilfet Songun; Carolien Wientjes; Pleun Snel; Boudewijn Dwars |
Publication Detail:
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Type: JOURNAL ARTICLE Date: 2010-10-05 |
Journal Detail:
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Title: Case reports in gastroenterology Volume: 4 ISSN: 1662-0631 ISO Abbreviation: - Publication Date: 2010 |
Date Detail:
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Created Date: 2010-11-9 Completed Date: - Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 101474819 Medline TA: Case Rep Gastroenterol Country: - |
Other Details:
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Languages: ENG Pagination: 416-420 Citation Subset: - |
Affiliation:
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Department of Surgery, Slotervaart Hospital, Amsterdam, The Netherlands. |
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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