A Case of Multiple Adenocarcinoma of the Blind Loop in the Ileum

Kazuhide Tohara, Yuzo Uchida, Okihiko Shibata, Shinichi Murakami, Tetzuo Hadama

The Second Department of Surgery, Medical College of Oita

A 77-year-old woman had undergone an ileotransversecolostomy for stenosis of the terminal ileum 25 years before admission. Since September 1985 she had received drug therapy for gastric ulcer. In April 1987 she was admitted to our University Hospital with a diagnosis of penetrating gastric ulcer and stenosis of a terminal ileum. Two days after admission, an emergency operation for perforation of the gastric ulcer, a distal gastrectomy and gastroduodenostomy were carried out. Simultaneously, a blind loop of the terminal ileum and ascending colon was removed. In the resected specimen of the terminal ileum, multiple well differentiated adenocarcinomas were revealed histologically, and they infiltrated into the mesenterium. There was no evidence of specific inflammation or Crohn's disease. She died of recurrence of cancer ll months after surgery.

Key words
carcinoma of the ileum, blind loop

Reprint requests
Kazuhide Tohara The Second Department of Surgery, Medical College of Oita
1-1 Idaigaoka, Hazama-cho, Oita, 879-56 JAPAN

Accepted
September 12, 1990

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