Adenocarcinoma as a complication of small bowel Crohnʼs disease

• Published in: European journal of gastroenterology & hepatology Vol. 17; no. 11; pp. 1255 - 1257
• Main Authors: Shenderey, Richard L, Thompson, Nick, Mansfield, John C, Rees, Colin
• Format: Journal Article
• Language: English
• Published: Hagerstown, MD Lippincott Williams & Wilkins, Inc 01-11-2005; Lippincott Williams & Wilkins
• Subjects: Adenocarcinoma - diagnostic imaging; Adenocarcinoma - etiology; Adult; Biological and medical sciences; Crohn Disease - complications; Fatal Outcome; Gastroenterology. Liver. Pancreas. Abdomen; Humans; Ileal Neoplasms - diagnostic imaging; Ileal Neoplasms - etiology; Intestinal Obstruction - etiology; Jejunal Neoplasms - diagnostic imaging; Jejunal Neoplasms - etiology; Male; Medical sciences; Middle Aged; Other diseases. Semiology; Stomach. Duodenum. Small intestine. Colon. Rectum. Anus; Tomography, X-Ray Computed; Adenocarcinoma; Crohn disease; Digestive diseases; Intestinal disease; Complication; Crohn's disease; Malignant tumor; Small intestine; Inflammatory disease
• ISSN: 0954-691X; 1473-5687
• DOI: 10.1097/00042737-200511000-00017

Carcinoma is a recognized but rare complication of small bowel Crohnʼs disease. This case series emphasizes the importance of considering this diagnosis in patients with small bowel Crohnʼs disease. We report three cases in which patients were treated for presumed exacerbations of Crohnʼs, but were subsequently found to have underlying small bowel adenocarcinoma. This case series will demonstrate the need for the surgical assessment of patients with long-standing symptomatic Crohnʼs disease that fails to settle with conservative management.