DOI: 10.36347/sjmcr.2018.v06i03.010

Pages: 149-152

Small bowel malignancy is a rare entity. Adenocarcinoma is a most common histologic subtype. Primary jejunal carcinoma is rare and is difficult to diagnose clinically due to non-specific symptoms. Surgical resection is the treatment of choice. There is no standard protocol for unrespectable or metastatic disease. We report here a 52 year old female with mucinous adenocarcinoma of jejunum, lacking specific symptoms in early stage and later presented with occasional biliary vomiting with soft abdomen, leading to delay of 6 months in diagnosis. At laparotomy, growth was present in mid jejunum. The patient underwent segmental resection of intestine. The jejunal growth was diagnosed as mucinous adenocarcinoma on histopathology examination. The patient was given adjuvant chemotherapy after surgery and she is doing well after 6 months of follow up.