An autopsy case of primary jejunal carcinoma in a 63-year-old man who was admitted with complaints of abdominal plan, nausea, and vomiting was described. Intestinal obstruction due probably to neoplastic growth was noted by X-ray examination and a tumor of 4×3 cm was surgically removed which encircled and stenosed the jejunum at about 80 cm below the ligament Treitz. Histologically, the tumor was well-differentiated adenocarcinoma which penetrated to serosal surface where suppurative peritonitis was also recognized. The patient died of ischemic colitis and bronchopneumonia 54 days after operation. A post morten examination disclosed no metastasis.