Journal of Medical Cases, ISSN 1923-4155 print, 1923-4163 online, Open Access
Article copyright, the authors; Journal compilation copyright, J Med Cases and Elmer Press Inc
Journal website http://www.journalmc.org

Case Report

Volume 6, Number 3, March 2015, pages 137-139

First Case of Small Bowel Cancer in a Post Roux-en-Y Gastric Bypass Weight-Loss Surgery: A Case Report

Figures

Figure 1.
Figure 1. Olympus videogastroscope shows a friable lesion in the Roux-en-Y gastric bypass limb at about 80 cm distal to the gastroduodenal anastomosis.
Figure 2.
Figure 2. The oozing of blood is due to its friability after the scope was passed through.
Figure 3.
Figure 3. Resected specimen of small intestine that has been opened longitudinally along the antimesenteric border and shows a centrally ulcerated and erythematous mass with slightly raised polypoid edges.
Figure 4.
Figure 4. Closer view of the resected specimen of small intestine showing a centrally ulcerated and erythematous mass with slightly raised polypoid edges.
Figure 5.
Figure 5. Hematoxylin and eosin (H&E) stain of the friable small bowel lesion at × 100. Left lower half of the picture shows normal small intestinal mucosa. Rest of the picture shows invasive adenocarcinoma, i.e. invasive glands and cribriform structures composed of columnar cells with hyperchromatic nuclei that have lost normal polarity. Invasive adenocarcinoma is surrounded by desmoplastic (fibrotic) reaction.