Tumors of the small intestine]

Peculiarities of the clinical picture, diagnosis and surgical treatment of the small intestine tumors are considered in the paper, as well as immediate and late results of the treatment. The results of the treatment of 14 cases of the small intestine tumors are summed up (6 benign neoplasms and 8 malignant ones). The authors have come to the conclusion that in the most of cases tumors of the small intestine remain symptom-free for a long time; not infrequently they are complicated with intestinal ileus, perforation of the tumor and peritonitis. Resection of the portion of the intestine with tumors and of a segment of the mesentery with the removal of the enlarged regional lymph nodes provides an only radical method of the treatment. An original scheme of the small intestine tumors localization is set forth in the paper.     

Tumors of the small intestine. Case reports and comments]

Tumours of the small intestine are extremely rare and have a particularly severe prognosis. The impossibility of making an early diagnosis due to the scarcity of precise symptoms during the early stages of the disease and the lack of safe instrumental tests limits the results of treatment which is essentially surgical. In order to contribute to the study of the disease and improve its prognosis, the authors report the cases which they have observed and review the literature.     

Tumors of the small intestine

An analysis of 24 cases with tumors of the small intestine of both benign and malignant origin has been made. Their pathomorphological characteristics are given. Acute intestinal obstruction, hemorrhage and perifocal inflammation are found to be most frequent complications. The topical diagnostics of these tumors before operation is difficult, they manifest themselves by their complications. The operative methods are dependent on intraoperative findings.     

Leiomyoma of the small intestine. Case report]

The paper reports the case of a 53-year-old man admitted to hospital with melena. The initial diagnosis was bleeding duodenal ulcer; after 8 weeks of therapy the duodenal ulcer was completely healed, but renewed intestinal bleeding occurred three months later. Angiography of the upper mesenteric artery revealed a clear tumour form. A tumour of the small intestine the size of a fist was found during surgery. An ileal resection was performed. Histopathological tests confirmed the diagnosis of leiomyoma of the small intestine.