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Surgery Today

, Volume 41, Issue 7, pp 1007–1010 | Cite as

Preoperative diagnostic value of single-balloon enteroscopy for successful surgical treatment of three independent-origin gastrointestinal malignant tumors: Report of a case

  • Shohei Yoshiya
  • Keishi Sugimachi
  • Shigeo Nakamura
  • Hiroki Yaita
  • Yuta Fuyuno
  • Dai Kitagawa
  • Tatsuro Shimokama
  • Hidefumi Higashi
Case Report
  • 68 Downloads

Abstract

A 67-year-old woman with bloody stools underwent esophagogastroduodenoscopy and colonoscopy, which revealed the presence of a submucosal tumor in the stomach and an adenocarcinoma in the ascending colon. Preoperative screening disclosed an additional 10-cm tumor in the abdomen between the gastric and colonic lesions. Single-balloon enteroscopy was therefore performed. A nonstenotic, circumferential, bleeding ulcerative lesion was found in the jejunum, and the biopsy revealed malignant lymphoma (ML). A partial resection of the small intestine, ascending colectomy, and wedge resection of the stomach were performed, then systemic chemotherapy for ML was started 2 weeks after surgery. Triple gastrointestinal malignant tumors with different histologies are extremely rare, and have not been previously reported. Single-balloon enteroscopy in this case led to a definite diagnosis by biopsy, thus allowing the patient to receive chemotherapy as soon as possible after surgery.

Key words

Single-balloon enteroscopy Malignant lymphoma Triple malignant tumors 

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Copyright information

© Springer 2011

Authors and Affiliations

  • Shohei Yoshiya
    • 1
  • Keishi Sugimachi
    • 1
  • Shigeo Nakamura
    • 2
  • Hiroki Yaita
    • 2
  • Yuta Fuyuno
    • 2
  • Dai Kitagawa
    • 1
  • Tatsuro Shimokama
    • 3
  • Hidefumi Higashi
    • 1
  1. 1.Department of SurgeryNippon Steel Yawata Memorial HospitalKitakyushuJapan
  2. 2.Department of GastroenterologyNippon Steel Yawata Memorial HospitalKitakyushuJapan
  3. 3.Department of PathologyNippon Steel Yawata Memorial HospitalKitakyushuJapan

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