Atypical age of onset of the small bowel adenocarcinoma – case report

Szklener, Katarzyna, Maciąg, Maria, Marczak, Aleksandra, Margas, Mikołaj, Mańdziuk, Sławomir. Atypical age of onset of the small bowel adenocarcinoma – case report. Journal of Education, Health and Sport. 2022;12(10):327-334. eISSN 2391-8306. DOI http://dx.doi.org/10.12775/JEHS.2022.12.10.039

https://apcz.umk.pl/JEHS/article/view/40062

https://zenodo.org/record/7275081

The journal has had 40 points in Ministry of Education and Science of Poland parametric evaluation. Annex to the announcement of the Minister of Education and Science of December 21, 2021. No. 32343.

Has a Journal's Unique Identifier: 201159. Scientific disciplines assigned: Physical Culture Sciences (Field of Medical sciences and health sciences); Health Sciences (Field of Medical Sciences and Health Sciences).

Punkty Ministerialne z 2019 - aktualny rok 40 punktów. Załącznik do komunikatu Ministra Edukacji i Nauki z dnia 21 grudnia 2021 r. Lp. 32343. Posiada Unikatowy Identyfikator Czasopisma: 201159.

Przypisane dyscypliny naukowe: Nauki o kulturze fizycznej (Dziedzina nauk medycznych i nauk o zdrowiu); Nauki o zdrowiu (Dziedzina nauk medycznych i nauk o zdrowiu).

© The Authors 2022;

This article is published with open access at Licensee Open Journal Systems of Nicolaus Copernicus University in Torun, Poland

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The authors declare that there is no conflict of interests regarding the publication of this paper.

Received: 16.09.2022. Revised: 20.10.2022. Accepted: 31.10.2022.

Atypical age of onset of the small bowel adenocarcinoma – case report

Authors:

1. Katarzyna Szklener, Department of Clinical Oncology and Chemotherapy, Medical University of Lublin, 8 Jaczewskiego Street, 20-090 Lublin, Poland; katarzyna.szklener@op.pl; https://orcid.org/0000-0001-8033-3574 
2. Maria Maciąg, Student Research Group at the Department of Clinical Oncology and Chemotherapy, Medical University of Lublin, 8 Jaczewskiego Street, 20-090 Lublin, Poland; maciag.marysia@gmail.com; https://orcid.org/0000-0003-3655-7022 
3. Aleksandra Marczak, Student Research Group at the Department of Clinical Oncology and Chemotherapy, Medical University of Lublin, 8 Jaczewskiego Street, 20-090 Lublin, Poland; ola.marczak98@gmail.com; https://orcid.org/0000-0001-5950-3567 
4. Mikołaj Margas, Student Research Group at the Department of Clinical Oncology and Chemotherapy, Medical University of Lublin, 8 Jaczewskiego Street, 20-090 Lublin, Poland; mikolajmargas@interia.pl; https://orcid.org/0000-0002-7420-0190 
5. Sławomir Mańdziuk, Department of Clinical Oncology and Chemotherapy, Medical University of Lublin, 8 Jaczewskiego Street, 20-090 Lublin, Poland; slawomir.mandziuk@umlub.pl; https://orcid.org/0000-0002-9812-0777 

Abstract

Background: Small bowel adenocarcinoma is a rare malignant tumor, with the typical age of diagnosis being 60 years old. In the field of risk factors, we can distinguish, between genetic disorders, inflammatory bowel diseases, smoking, and alcohol abuse. Guidelines for the screening methods are very wide, hence it may be difficult to make the right diagnosis at the early stages of cancer. Additional difficulties can be caused by similarities to inflammatory processes in the gastrointestinal tract.

Case report: We present a case of a 22-year-old male patient, with the symptoms of weight loss, stool retention, abdominal pain, and vomiting. The patient was initially misdiagnosed with inflammatory bowel disease and received the first dose of anti-inflammatory treatment. At that point, the diagnostic process and the workflow of medical care were delayed due to the COVID-19 pandemic. After receiving the x-ray and computed tomography, the obstruction of the ileum was found, and an urgent operation was performed. Tissue samples obtained during surgery revealed the proper diagnosis, a low-differentiated adenocarcinoma (G3) of the small intestine, stage T4Nx.

Conclusion: Taking into consideration the patient’s condition, age, and symptoms, we should always think about the probable malignant process. Inflammatory diseases are known for increasing cancer risk and should always be the indication of this disease. The age of onset of the disease is very unusual, however, we must be aware of such cases in our clinical practice.

Keywords: Small bowel adenocarcinoma; ileus; covid-19