cases, small intestine Week 378: Case 5 April 26, 2023 pathadmin 1. Presented by Ralph Hruban, M.D. and prepared by Joseph J. Maleszewski, M.D.This patient with a history of a pancreatic mass developed a small bowel obstruction requiring surgery. Several portions of bowel were resected and adhesions were lysed.images/jjm011209/case5a.jpgimages/jjm011209/case5b.jpgimages/jjm011209/case5c.jpgAdenocarcinoma of the pancreas metastatic to the bowelReactive serosal (mesothelial) cellsAdenocarcinoma of the breast metastatic to the bowelCarcinoid tumor Loading...