Jejunal Adenocarcinoma: An Unusual Cause of Small Bowel Obstruction

We report the case of a 52 year old man having no previous abdominal surgery who presented with small bowel obstruction. Computerised tomography showed mid jejunal obstruction, however, the cause of the obstruction could not be diagnosed radiologically. Laparotomy was performed and the obstruction was found to be due to a small annular jejunal tumour. This was resected and histology showed a primary jejunal adenocarcinoma. Staging was T3N1M0. He received adjuvant chemotherapy with Capecitabine and Oxaliplatin and remains disease free two and a half years after surgery.