[Primary XXXX , synchronous].

@entity1 @entity353 @entity5 @entity254 @entity1661 @entity900 @entity420 @entity1820 @entity1321 @entity3 @entity1744 @entity1487
BACKGROUND: Among the rarest types of @entity5 found are the small intestine @entity5 , representing only 2% of all @entity1820 and 0.1-0.3% of all @entity5 . The most common subtype of this @entity5 is the @entity420 , which is located mainly in the duodenum, jejunum and, rarely, in ileum. CLINICAL CASE: A 75 year-old male, with no any surgical history, who in the previous three months, referred to two clinical episodes of @entity1744 and unquantified @entity353 . When admitted into the surgical service, the @entity1 referred to a @entity1744 of more than one week onset. A laparotomy was performed, finding 3 stenosis rings at the ileum end portion, carrying out an intestinal resection and enteral-enteral @entity254 . On the seventh day there was dehiscence of the @entity254 and @entity1661 . New surgery was performed with the resection of the intestinal @entity254 and an ileostomy. The pathologist report indicated a small bowel @entity420 moderately differentiated, ulcerated, and multifocal. It was classified as stage III or T3N1M0. The @entity1 progress was satisfactorily, managed as outpatient with postoperative chemotherapy with 5 @entity1487 and @entity900 . The @entity1 died a year later due to liver @entity3 . CONCLUSIONS: Due to the extreme rarity of the case, is very likely that general surgeons may find one or two cases of @entity420 in their professional career. Thus, they must suspect this pathology when faced with an episode of @entity1321 in the adult.
