Polyposis and carcinoma of the small bowel and familial colonic polyposis

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Abstract
A case of small bowel polyposis associated with a primary jejunal adenocarcinoma in a patient who had previously undergone a subtotal colectomy for familial colonic polyposis is reivewed. The patient was seen for a spontaneously resolving, subacute small bowel obstruction secondary to metastatic mesenteric and serosal nodules. The jejunal malignance was metastatic to the lungs in the form of lymphangitic spread, the patient subsequently dying after an open-lung biopsy in an attempt to establish a diagnosis. This particular combination of clinical features, especially the pulmonary findings, appears not to have been previously reported.

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