Chronic vomiting as a nonspecific symptom of small intestine cancer - case report

Kinga Justyna Kuśmierczuk, Joanna Urszula Borowik, Katarzyna Anna Kozak, Patryk Jawoszek, Wojciech Brodowski, Barbara Skrzydło-Radomańska


Introduction: Small intestine cancer is a rare gastrointestinal cancer (less than 5%) and makes up 0.3% of all malignancies. The most common clinical symptoms include abdominal pain, vomiting and gastrointestinal bleeding.
Aim of study: The aim of the study is to draw attention to the rare cases of SBA.The second aim of the study is to review the literature on the diagnosis and therapeutic process of patients suffering from small intestine cancer.
Methods:The research method was an individual case study. The research material was the patient's medical record.An unsystematic review of Polish and English-language scientific literature was conducted. Electronic databases: PubMed, SCOPUS and Google Scholar were searched using the following keywords: adenocarcinoma, small intestine, small bowel obstruction, chronic vomiting.
Findings:A 39-year-old patient was diagnosed with G2 stage of the SBA with metastases to the nearby lymph nodes. Due to nonspecific symptoms the correct diagnosis was made at an advanced stage of the disease, and thus the implementation of appropriate treatment was delayed.
Conclusions: A small number of cases of the disease and non-specific symptoms make the diagnosis of small intestinal cancer extremely difficult. The disease usually develops insidiously and at the time of diagnosis the cancer is already at an advanced stage. A significant weight loss within a short period of time along with persistent vomiting should prompt the doctor for thorough diagnostic procedures.
Key words: adenocarcinoma, small intestine, small bowel obstruction, chronic vomiting


adenocarcinoma; small intestine; small bowel obstruction; chronic vomiting

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Potemski P, Polkowski W, Bujko K, Didkowska J, Guzel Z, Herman R, et al. Nowotwory układu pokarmowego. Zalecenia postępowania diagnostyczno-terapeutycznego w nowotworach złośliwych 2015 rok. 2015;135-139.

Sai Yi Pan, Morrison H. Epidemiology of cancer of the small intestine. World J Gastrointest Oncol. Mar 15, 2011; 3(3): 33-42

Didkowska J, Wojciechowska U. Nowotwory złośliwe w Polsce w 2013 roku. Warszawa: Krajowy Rejestr Nowotworów, 2015

Li J. et al. Small bowel adenocarcinoma of the jejunum: a case report and literature review. World Journal of Surgical Oncology, 2016; 14;177

Polczyk J. Small bowel adenocarcinoma (SBA) — a case report. NOWOTWORY J Oncol 2017;67:137-141,

Łampika K, Dutkiewicz P, Ciesielski P. Adenocarcinoma of the ileum causing obstruction in an 84-year-old patient – a case report. Nowa Med 2018; 25(4): 198-201.

Dabaja BS, Suki D, Pro B, et al. Adenocarcinoma of the small bowel. Cancer Volume 101, Issue 3, 2004, 435-654

Neugut A, Marvin M. Adenocarcinoma of the small bowel. Surgical Treatment: Evidence-Based and Problem-Oriented. Munich: Zuckschwerdt; 2001.

Umman, P., Adiyodi, V. & Narayan, C. Indian J Surg (2013) 75: 123.

Milewski J, Rydzewska G. Nowotwory jelita cienkiego.

Wielka Interna Gastroenterologia cz.2.,nowotwory-jelita-cienkiego

Ma JLG, Strauss PN. The elusive small bowel adenocarcinoma in the terminal ileum—A case report. Int J Surg Case Rep. 2018;47:97 -99.

Overman MJ. Rare but real: management of small bowel adenocarcinoma. Am Soc Clin Oncol Educ Book. 2013:189-93. https://doi: 10.1200/EdBook_AM.2013.33.189

Puccini, A., Battaglin, F. & Lenz, HJ. Curr. Treat. Options in Oncol. (2018) 19: 69.

Hong SH, Koh YH, Rho SY et al. Primary Adenocarcinoma of the Small Intestine: Presentation, Prognostic Factors and Clinical Outcome, Japanese Journal of Clinical Oncology, Volume 39, Issue 1, January 2009, Pages 54–61,

Gibson MK, Holcroft CA, Kvols LK. Phase II study of 5-fluorouracil, doxorubicin, and mitomycin C for metastatic small bowel adenocarcinoma. Oncologist. 2005 Feb;10(2):132-7.

Wilson JM, Melvin DB, Gray GF, Thorbjarnarson B. Primary malignancies of the small bowel: a report of 96 cases and review of the literature. Ann Surg. 1974;180(2):175–179. https://doi:10.1097/00000658-197408000-00008

Overman, M. J., Kopetz, S. , Wen, S. Et al.2008, Chemotherapy with 5‐fluorouracil and a platinum compound improves outcomes in metastatic small bowel adenocarcinoma. Cancer, 113: 2038-2045. https://doi:10.1002/cncr.23822



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