Small-bowel adenocarcinoma is an uncommon tumor, comprising<2 percent of all gastrointestinal tract malignancies. These tumors are known to occur in association with Crohn's disease. To date, there have been only two documented cases of adenocarcinoma arising at the site of previous strictureplasty reported in the literature. We report the third such case in a patient with no other premalignant conditions affecting the small bowel and question whether we may see an increasing trend in this type of presentation.