CECAL ADENOCARCINOMA WITH MULTIPLE SYNCHRONOUS SMALL-INTESTINAL ADENOCARCINOMA

We describe a patient who presented with iron deficiency anaemia in wh om both upper and lower gastrointestinal investigation were initially negative. Management included successive blood transfusions. Repeat in vestigation six months later revealed caecal adenocarcinoma. At laparo tomy, the patient was also found to have two separate primary synchron ous adenocarcinomas of the proximal small bowel. Right hemicolectomy a nd excision of the small bowel lesions were carried out. The patient e ventually succumbed to the disease six weeks after discharge from hosp ital.