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S. F. Altekruse, C. L. Kosary, M. Krapcho, N. Neyman, R. Aminou, W. Waldron, J. Ruhl, N. Howlader, Z. Tatalovich, H. Cho, A. Mariotto, M. P. Eisner, D. R. Lewis, K. Cronin, H. S. Chen, E. J. Feuer, D. G. Stinchcomb and B. K. Edwards, Eds., “SEER Cancer Statistics Review, 19752007,” National Cancer Institute, Bethesda, 2010. http://seer.cancer.gov/csr/1975_2007/

has been cited by the following article:

• TITLE: Primary Small Bowel Tumour Presenting as Bowel Obstruction in a Patient with a Virgin Abdomen

  AUTHORS: Xilin Wu, Hester Y. S. Cheung, Cliff C. C. Chung, Michael K. W. Li

  KEYWORDS: Small Bowel Tumour; Bowel Obstruction; Virgin Abdomen

  JOURNAL NAME: International Journal of Clinical Medicine, Vol.4 No.6, June 17, 2013

  ABSTRACT: Primary malignancies of the small bowel are rare and usually present with vague, non-specific symptoms. This leads to diagnostic difficulties for both physician and radiologists alike. We present a case of a 54-year-old lady with a virgin abdomen who initially presented to hospital with vague abdominal symptoms suggestive of gastroenteritis. She responded partially to conservative treatment but represented to hospital 3 weeks later with obstructive symptoms. Contrast CT was inconclusive with regards to diagnosis. A diagnostic laparoscopy was performed, revealing an infiltrative growth. Consequently, she underwent segmental laparoscopic-assisted small bowel resection and recovered well post-operatively. After further histological and endoscopic investigations, a final diagnosis of primary small bowel adenocarcinoma was given. As the prognosis of small bowel malignancy is stage-dependent, this case demonstrates a high index of suspicion is necessary to reach early diagnosis, especially for symptoms non-responsive to conventional treatment. Diagnostic laparoscopy should be considered early as a definitive diagnostic tool.