Nodular liver lesions associated with chronic home hyperalimentation after massive enterectomy for ileal carcinoma

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Abstract

A case of an ileal carcinoma involving the entire midgut treated with a massive enterectomy of the small bowel distal to the ligament of Treitz, the right colon, and part of the transverse colon is discussed. After 1 year on home hyperalimentation, hepatic nodules were seen on CT scans; metastases could not be proven. At 3 years a hepatic wedge resection was performed, multiple areas of necrosis and fibrosis were found, but no carcinoma. This case is presented as an example of an alternative in treatment for this type of carcinoma and to illustrate the problems of differential diagnosis of liver defects on the CT scan in patients on longterm hyperalimentation.

Original languageEnglish
Pages (from-to)82-85
Number of pages4
JournalJournal of Surgical Oncology
Volume35
Issue number2
DOIs
StatePublished - Jun 1987
Externally publishedYes

Keywords

  • ileal carcinoma alternative treatment
  • liver defects on CT scan differential diagnosis

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