Case Report
Year: 2021 | Month: May | Volume: 11 | Issue: 5 | Pages: 155-158
DOI: https://doi.org/10.52403/ijhsr.20210524
Linitis Plastica of Terminal Ileum
Kalyan Kumar S.1, Chinmay Gandhi2, Mahesh Zaware3
1Junior Resident, Bharati Vidyapeeth Deemed To Be University Medical College & Hospital, Sangli.
2Professor of Surgery, Bharati Vidyapeeth Deemed To Be University Medical College & Hospital, Sangli.
3Junior Resident, Bharati Vidyapeeth Deemed To Be University Medical College & Hospital, Sangli.
Corresponding Author: Kalyan Kumar S
ABSTRACT
Linitis plastica generally involves stomach. Most common cause is diffuse signet ring adenocarcinoma, metastatic disease from breast and lungs can also lead to Linitis plastica and also caustic burns. In Linitis plastica the stomach becomes rigid and pipe like (leather bottle). We are presenting a rare case of Linitis plastica of terminal ileum. Ours is a 55-year female patient presenting in casualty with abdominal pain, distension, vomiting and bilious vomiting. Her terminal ileum had stricturous rigid tube-like lesion with multiple mesenteric lymphadenitis. We did curative resection (ileoascending colon) and anastomosis. She had uneventful recovery. Though small bowel malignancies are rare, one should have high index of suspicion when one encounters rigid pipe like strictures lesion of ileum, as these can be malignant lesion and one should perform curative resection. Surgery improves survival rate along with adjuvant chemotherapy as required.
Key words: Linitis plastica, small bowel malignancy, Linitis plastica ileum, Linitis plastica stomach.