Abstract
A very rare case of synchronous double cancer including primary jejunal and early gastric cancer diagnosed preoperatively is reported. A 70-year-old woman visited our hospital complaining of sensation of abdominal fullness and vomiting. Clinical and histological examination revealed a primary jejunal and early gastric cancer. The jejunal cancer was like Borrmnn 2 type, located just below the ligament of Treitz, and was histologically a well-differentiated adenocarcinoma. While the early gastric cancer was a II a type locating on the lesser curvature of the middle gastric body and also histologically a well differentiated adenocarcinoma. Distal partial gastrectomy and resection of small intestine including the jejunal cancer were performed. A jejunal cancer is rare among all digestive tract, cancers, particularly that accompanied by a gastric cancer. Most of jejunal cancers are not diagnosed preoperatively, and already advanced at the time of operation. Every effort should be made to detect them in early stages.
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