Maligne Dünndarmtumoren sind selten; in über 40% der Fälle handelt es sich um Adenokarzinome. Obwohl diese selten vor dem 50. Lebensjahr auftreten, zeigt unser Fall, daβ auch jiingere Patienten davon betroffen sein können. Die Diagnose wird vielfach zu spät gestellt, da die Symptome uncharakteristisch sind. Bei unklaren Abdominalschmerzen, Hinweisen auf gastrointestinalen Blutverlust (meistens okkult), obstruktiven Beschwerden und gelegentlich unklarem Gewichtsverlust sollte an diese mögliche Ursache gedacht werden und mittels Sonographie, selektiver Dünndarmpassage und – wie bei unserem Patienten – bei unklar bleibenden Befunden mittels Computertomographie ein Dünndarmtumor gesucht werden, denn nur eine frühzeitige R0-Resektion kann die Patienten bei sonst schlechter Prognose heilen.

Keywords:
Dünndarmtumoren, Adenokarzinom, Blutungsanämie, Oberbauchschmerzen, Chirurgische Therapie
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© 1995 S. Karger AG, Basel
1995
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