Ileal Adenocarcinoma: A Rare Case Report and Review of the Literature

Abstract

Ileal tumors, and more specifically ileal adenocarcinomas, are exceedingly rare occurrences in clinical practice. In this article, we present a unique case involving a 56-year-old patient diagnosed with ileal adenocarcinoma, a malignancy originating in the ileum. This comprehensive case study explores various facets of this uncommon tumor, including clinical presentation, radiological findings, histopathological insights, and initial management strategies. The patient, previously healthy with no gastrointestinal issues, sought medical attention for severe abdominal pain localized to the right lower quadrant. Medical imaging revealed a substantial tumor mass with complex characteristics, while colonoscopy confirmed the presence of an ulcerated and necrotic mass in the terminal ileum. Histopathological examination confirmed the diagnosis of ileal adenocarcinoma. The patient’s treatment journey began with chemotherapy, with potential surgical intervention contingent upon her response. This case underscores the challenges and considerations involved in addressing this exceptional medical condition