Laparoscopy-Assisted Limited Resection Of Jejunum For A Large Symptomatic Polyp

Abstract

Benign tumors of the small bowel are rare clinical entities that often remain asymptomatic throughout life. Despite comprising 75% of the length and 90% of the surface area of the GI tract, the small bowel harbors relatively few primary neoplasms and fewer than 2% of GI malignancies. We present a 43-year old female with subacute intestinal obstruction and hemetemesis. Investigations revealed 2 jejunal masses, almost totally occluding the lumen. She underwent laparoscopy-assisted segmental resection of the jejunum. Her postoperative period was uneventful. Surgical excision of small bowel tumors remains the recommended therapy. Exploratory laparotomy and now laparoscopy with excision of the lesion provides the safest and most direct method for lesion identification and treatment.