Diseases of the Colon & Rectum

, Volume 47, Issue 5, pp 778–781 | Cite as

Small Bowel Adenocarcinoma at a Strictureplasty Site in a Patient With Crohn’s Disease: Report of a Case

  • Sheila K. Partridge
  • Richard A. Hodin
Case Report

Report of a Case

The patient is a 49-year-old male diagnosed with Crohn’s disease in 1979. He had Crohn’s colitis at that time, and subsequently underwent a total colectomy with end ileostomy for fulminant disease. In 1982 he underwent completion proctectomy, but he had no further surgery related to his Crohn’s disease for the next 18 years.

In January 2000, the patient began to have intermittent, crampy abdominal pain, bloating, and decreased ileostomy output, generally related to dietary indiscretion. These episodes of apparent small-bowel obstruction usually resolved within a 24-hour period. A small bowel follow-through study revealed several discrete strictures of the small intestine (Fig. 1). These findings were similar to those seen on a previous study in 1998. There also was involvement of the terminal ileum with fistulization to the skin near his ileostomy.


Short Bowel Syndrome Small Bowel Adenocarcinoma Small Intestinal Cancer Completion Proctectomy Septic Morbidity 
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  1. 1.
    Ginzburg, L, Schneider, KM, Dreizin, DH, Levinson, C 1956Carcinoma of the jejunum occurring in a case of regional enteritisSurgery3934751Google Scholar
  2. 2.
    Lewis, JD, Deren, JJ, Lichtenstein, GR 1999Cancer risk in patients with inflammatory bowel diseaseGastroenterol Clin North Am2845977Google Scholar
  3. 3.
    Persson, PG, Karlen, P, Bernell, O,  et al. 1994Crohn’s disease and cancer: a population-based cohort studyGastroenterology10716759Google Scholar
  4. 4.
    Richards, ME, Rickert, RR, Nance, FC 1989Crohn’s disease-associated carcinoma. A poorly recognized complication of inflammatory bowel diseaseAnn Surg676473Google Scholar
  5. 5.
    Ozuner, G, Fazio, VW, Lavery, IC, Church, JM, Hull, TL 1996How safe is strictureplasty in the management of Crohn’s disease?Am J Surg1715760Google Scholar
  6. 6.
    Yamamoto, T, Bain, IM, Allan, RN, Keighley, MR 1999An audit of strictureplasty for small-bowel Crohn’s diseaseDis Colon Rectum42797803Google Scholar
  7. 7.
    Tonelli, F, Ficari, F 2000Strictureplasty in Crohn’s disease: surgical optionDis Colon Rectum439206Google Scholar
  8. 8.
    Cristaldi, M, Sampietro, GM, Danelli, P, Bollani, S, Porro, GB, Taschieri, AM 2000Long-term results and multivariate analysis of prognostic factors in 138 consecutive patients operated on for Crohn’s disease using “bowel-sparing” techniquesAm J Surg17926670Google Scholar
  9. 9.
    Dietz, DW, Laureti, S, Strong, SA,  et al. 2001Safety and long-term efficacy of strictureplasty in 314 patients with obstructing small bowel Crohn’s DiseaseJ Am Coll Surg1923307Google Scholar
  10. 10.
    Tichansky, D, Cagir, B, Yoo, E, Marcus, SM, Fry, RD 2000Strictureplasty for Crohn’s disease: meta-analysisDis Colon Rectum439119Google Scholar
  11. 11.
    Jaskowiak, NT, Michelassi, F 2001Adenocarcinoma at a strictureplasty site in Crohn’s disease: report of a caseDis Colon Rectum442847Google Scholar
  12. 12.
    Marchetti, F, Fazio, VW, Ozuner, G 1996Adenocarcinoma arising from a strictureplasty site in Crohn’s disease: report of a caseDis Colon Rectum39131521Google Scholar

Copyright information

© The American Society of Colon and Rectal Surgeons 2004

Authors and Affiliations

  1. 1.Department of Surgery, Beth Israel Deaconess Medical CenterHarvard Medical SchoolBostonUSA

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