Primary Adenocarcinoma of an Ileostomy in Crohn's Disease | Zendy

Kevin Liu | Zendy; Meena Prasad | Zendy; Sadis Matalon | Zendy; Emanuelle Bellaguarda | Zendy; Scott A. Strong | Zendy; Stephen B. Hanauer | Zendy

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Primary Adenocarcinoma of an Ileostomy in Crohn's Disease

Author(s) -

Kevin Liu,

Meena Prasad,

Sadis Matalon,

Emanuelle Bellaguarda,

Scott A. Strong,

Stephen B. Hanauer

Publication year - 2016

Publication title -

acg case reports journal

Language(s) - English

Resource type - Journals

SCImago Journal Rank - 0.112

H-Index - 4

ISSN - 2326-3253

DOI - 10.14309/crj.2016.85

Subject(s) - medicine , ileostomy , malignancy , adenocarcinoma , disease , crohn's disease , dysplasia , gastroenterology , inflammatory bowel disease , proctocolectomy , complication , general surgery , cancer , ulcerative colitis

Although Crohn's disease has been associated with an increased risk of small bowel adenocarcinoma, primary adenocarcinoma arising from an ileostomy is a complication that has been rarely documented in Crohn's disease. Chronic small bowel inflammation may lead to development of malignancy through the dysplasia-carcinoma sequence. We report a case of a 61-year-old woman with Crohn's ileocolitis diagnosed with a primary adenocarcinoma at the ileostomy with metastases to the liver 47 years after proctocolectomy, and review the literature.

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