Adenocarcinoma of Mullerian Origin Presenting as Small Bowel Obstruction

We report a case of an 84-year-old female with a history of total abdominal hysterectomy with bilateral salpingo-oophorectomy 20 years previously who presented with small bowel obstruction. Computed tomography (CT) scan with contrast showed a large mass in the mesentery of the small bowel. Explorato...

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Bibliographic Details
Published in:Curēus (Palo Alto, CA) CA), 2022-12, Vol.14 (12), p.e32645
Main Authors: Alrasheed, Reema, Alharkan, Alanoud, Alhassan, Bassam, Alrumeh, Assem, Ali, Bandar
Format: Article
Language:English
Subjects:
Abdomen
Cancer
Case reports
Chemotherapy
Emergency medical care
General Surgery
Hysterectomy
Intestinal obstruction
Mesentery
Metastasis
Obstetrics/Gynecology
Oncology
Oophorectomy
Ovaries
Pain
Pathology
Patients
Small intestine
Tumors
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Summary:We report a case of an 84-year-old female with a history of total abdominal hysterectomy with bilateral salpingo-oophorectomy 20 years previously who presented with small bowel obstruction. Computed tomography (CT) scan with contrast showed a large mass in the mesentery of the small bowel. Exploratory laparotomy was performed, and segmental resection of 25 cm of small bowel with the mesenteric mass was performed. The histopathological features were suggestive of recurrent adenocarcinoma of Mullerian origin. The patient was offered palliative chemotherapy and referred to oncology and palliative care as a part of multidisciplinary treatment.
ISSN:2168-8184
2168-8184
DOI:10.7759/cureus.32645