A 47-year-old female presented with intestinal occlusion and a lower a
bdominal mass. On laparotomy, a 10 cm diameter mass was discovered inv
olving the ileum, jejunum, vagina and the bladder. Pathological studie
s conclusion was a primary adenocarcinoma of the ileum involving the j
ejunum. Small bowel carcinoma is rare. It occurs between sixty- and se
venty-year-old equally in male and female. It presents most frequently
in the duodenum, sometimes in the jejunum, and occasionally in the il
eum. The symptoms are not specific and do not point to the diagnosis w
hich must be made radiologically and endoscopically. Currently, for a
minority of patients, surgical resection remains the only hope of cure
. Palliative resections and bypass procedures can prevent occlusion or
subocclusion.