Snapshot quiz 15/1

Published: 01/15/2015

Authors: Kosai NR, Levin KB, Reynu R, Taher MM, Ali RAR and Palaniappan S

Small bowel adenocarcinoma. Small bowel adenocarcinoma is a rare complication of Crohn’s disease (1). Its ability to mimic acute exacerbation of Crohn’s stresses the importance of a high index of suspicion (2,3). Stricture dilatation should not be done in suspicious obstructive lesions as it could further disseminate tumour cells. Surgical treatment includes segmental small bowel resection with mesenteric lymphadenectomy and primary anastomosis.

References
1 Canavan C, Abrams KR, Mayberry J. Meta-analysis: colorectal and small bowel cancer risk in patients with Crohn’s disease. Aliment Pharmacol Ther 2006; 23: 1097–1104.
2 Dossett LA, White LM, Welch DC, Herline AJ, Muldoon RL, Schwartz DA et al. Small bowel adenocarcinoma complicating Crohn’s disease: case series and review of the literature. Am Surg 2007; 73: 1181–1187.
3 Widmar M, Greenstein AJ, Sachar DB, Harpaz N, Bauer JJ, Greenstein AJ. Small bowel adenocarcinoma in Crohn’s disease. J Gastrointest Surg 2011; 15: 797–802.