Abstract
This article reviews a case of small-bowel polyposis associated with a primary jejunal adenocarcinoma in a patient who had previously undergone a subtotal colectomy for familial colonic polyposis. The patient was seen for a spontaneously resolving, subacute small-bowel obstruction secondary to metastatic mesenteric and serosal nodules. The jejunal malignancy was metastatic to the lungs in the form of lymphangitic spread, the patient subsequently dying after an open-lung biopsy in an attempt to establish a diagnosis. This particular combination of clinical features, especially the pulmonary findings, appears not to have been previously reported.
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References
Morson BC. Diseases of the colon, rectum and anus. London: Heinemann, 1969.
Hoffmann DC, Goligher JC. Polyposis of the stomach and small intestine in association with familial polyposis coli. Br J Surg 1971;58:126–8.
Ross JE, Mara JE. Small bowel polyps and carcinoma in multiple intestinal polyposis. Arch Surg 1974;108:736–8.
Dozois RR, Judd ES, Dahlin DC, Bartholomew LG. The Peutz-Jeghers syndrome: is there a predisposition to the development of intestinal malignancy? Arch Surg 1969; 98:509–17.
Wilson JM, Melvin DB, Gray GF, Thorbjarnarson B. Primary malignancies of the small bowel: a report of 96 cases and review of the literature. Ann Surg 1974;180:175–9.
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Phillips, L.G. Polyposis and carcinoma of the small bowel and familial colonic polyposis. Dis Colon Rectum 24, 478–481 (1981). https://doi.org/10.1007/BF02626789
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DOI: https://doi.org/10.1007/BF02626789