Resection of Proximal Jejunal Adenocarcinoma Just Distal to Ligament of Trietz

Although gastrointestinal malignancy is still the major concern of health problems in Worldwide, but small intestinal malignancy is extremely rare. Only 0.6% of all malignant patients in the USA are small intestinal malignancy. The location of small intestinal malignancy is duodenum (73.6%), jejunum (13.2%) and ileum (13.2%). Primary small bowel neoplasms at the ligament of Treitz are extremely rare and require advanced surgical technique for extirpation. The insidious onset of disease allows for a delayed presentation, often accompanied by moderate-size growth of the neoplasm, causing intestinal bleeding and bowel obstruction. The diagnosing of small intestinal malignancy usually delays due to inaccessible of esophagogastroduodenoscopy especially jejunum and ileum causing poor prognostic outcomes.