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Linitis Plastica of Terminal Ileum

Linitis plastica generally involves stomach. Most common cause is diffuse signet ring adenocarcinoma, metastatic disease from breast and lungs can also lead to Linitis plastica and also caustic burns. In Linitis plastica the stomach becomes rigid and pipe like (leather bottle). We are presenting a rare case of Linitis plastica of terminal ileum. Ours is a 55-year female patient presenting in casualty with abdominal pain, distension, vomiting and bilious vomiting. Her terminal ileum had stricturous rigid tube-like lesion with multiple mesenteric lymphadenitis. We did curative resection (ileoascending colon) and anastomosis. She had uneventful recovery. Though small bowel malignancies are rare, one should have high index of suspicion when one encounters rigid pipe like strictures lesion of ileum, as these can be malignant lesion and one should perform curative resection. Surgery improves survival rate along with adjuvant chemotherapy as required.

Key words: Linitis plastica, small bowel malignancy, Linitis plastica ileum, Linitis plastica stomach.