Jurnalul de Chirurgie
 Jurnalul de chirurgie
Aparitie trimestriala in a doua luna a trimestrului
Published quarterly in the second month of the quarter
ISSN: 1584 - 9341 Vol.10 Nr.3 - Iulie-Septembrie 2014 | sâmbătă, 19 ianuarie 2019
ISSN: 1584 - 9341 Vol.10 No.3 - July-September 2014
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DUODENAL ADENOCARCINOMA ASSOCIATED WITH HEMORRHAGIC PROCTITIS. A CASE REPORT
D. Munteanu 1, D. Leuca 2, C. Alexa 3, Al. Munteanu 4

1 3-rd Surgical Clinic, University of Medicine and Pharmacy Cluj-Napoca
2 Army Hospital Cluj-Napoca, Surgical Unit
3 Intensive Care Unit
4 student – University of Medicine and Pharmacy Cluj-Napoca
Jurnalul de chirurgie 2006; 2 (4):402-406
Full text: Format PDF (Romanian)

Abstract:

BACKROUND: to analyse the distinctive clinicopathological and surgical features of an interesting case of voluminous malignant duodenal tumor.

METHODS: the case of a male patient a voluminous tumor, of the third part of the duodenum involving the duodeno-jejunal angle is discussed. Adjacent viscera where involved, together with an important lympho-nodular tumor encasing superior mesenteric vessels. Paraaortic lymph nodes where also involved. While accomplishing the intended Harison-Debas operation, we ´ve reached the „point of no return” as follows.

RESULTS: our planned Roux-en-Y duodeno-jejunostomy, as by-pass paliation of the „unresectable” malignant obstruction of the duodenum, turned into an inevitabely complex multivisceral resection thus increasing the operating time.

CONCLUSIONS: sometimes, in case with apparently unresectable, tumors or, in cases where local or nodal extension makes resection useless, surgeons are compelled to performe extensive resections with no benefit on patient's survival expectancy; this frequently occures when preoperative assessment (i.e. angiography, MRI – angiography ) is incomplete. On the other hand, for well selected cases, resection might be the best paliation.

KEYWORDS: DUODENAL ADENOCARCINOMA, RESECTION.

Paper presented to the 4-th International Conference of Surgery, Iasi, October 19-22, 2006



: Creative Commons License
Jurnalul de chirurgie [Journal of Surgery] by Editorial Board, Department of Surgery University of Medicine and Pharmacy Iasi, E. Tarcoveanu, R. Moldovanu is licensed under a Creative Commons Attribution-NonCommercial-NoDerivs 3.0 Unported License.
Based on a work at www.jurnaluldechirurgie.ro.