Work

Cecal adenocarcinoma with extension into terminal ileum presenting as terminal ileitis and abscess formation

Year: 2023

Type: article

Abstract: Background: While terminal ileitis is most often associated with Crohn’s disease, it has a broad differential, including malignancy. Case Presentation: We report an 83-year-old female with fever and right lower quadrant abdominal pain. An imaging study revealed an abscess located at a thickened terminal ileum. The etiology of terminal ileitis was unclear, but symptoms subsided with antibiotics and cessation of naproxen. Two years later, the patient presented with similar symptoms and imaging findings. Colonoscopy revealed a submucosal mass, which was found to be adenocarcinoma, located in the cecum and terminal ileum. Conclusion: This case highlights that differential for cecal adenocarcinoma with extension into the terminal ileum should be considered in those presenting with terminal ileitis and abscess formation.

Source: European Journal of Medical Case Reports

DOI: 10.24911/ejmcr/173-1648384776

Authors: Gordon S. Wong, Ashley Thompson, Keely Parisian, Aaron Huber, Aameera Khan

Institutions: Greenwich Hospital, Oregon Health & Science University, University of Rochester Medicine

Language: English

Topic: Colorectal Cancer Screening and Detection

Subfield: Oncology

Field: Medicine

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: diamond

OpenAlex ID: W4367358901