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 | smbt, 23 martie 2019
ISSN: 1584 - 9341 Vol.10 No.3 - July-September 2014
English
British Flag| Romana Romanian Flag
 
Creditare EMC
Colegiul Medicilor
Va invitam sa va inregistrati/abonati la Jurnalul de chirurgie pentru a beneficia de creditare EMC
User

Parola

Tine minte
Ti-ai uitat parola?
Syndicate

Advertisement

Elmed

Estima

Liamed

Listare E-mail

ADENOCARCINOMA OF DUODENUM AT THE DUODENOJEJUNAL FLEXURE
S.K. Sahu (1), P.K. Singh (1), B.P. Singh (1), S. Raghuvanshi (2), P.K. Sachan (1)
Himalayan Institute of Medical Sciences, Swami Ram Nagar, India
1) Department of General Surgery
2) Department of Radio-diagnosis
Jurnalul de chirurgie (Iaşi). 2013; 9(3): 253-256.
Full text: 
Format PDF (Engleză/English)

Abstract:

Adenocarcinoma of the duodenum is an exceedingly rare condition representing not more than 0.3% to 0.4% of all gastrointestinal tract cancers. Clinical presentation is usually due to partial or complete obstruction of the duodenum. Computed tomography scan has a high accuracy in detecting metastatic spread to stage the disease. CASE REPORT: A 60 year woman presented with chief complaints of persistent bilious projectile vomiting containing undigested food material and pain in the upper abdomen since 6 months. Upper gastrointestinal endoscopy up to 2nd part of duodenum revealed no abnormality. Contrast enhanced computed tomography (CECT) scan of abdomen showed a dilated stomach and duodenal dilatation up to 4th part along with a concentric growth seen in the fourth part of duodenum at the duodenojejunal flexure, and multiple retroperitoneal lymph-adenopathy. Exploratory laparotomy revealed a tumor of the duodenojejunal flexure with dilatation of all the parts of duodenum and stomach. The tumor was seen encasing the superior mesenteric vessels and aorta. A palliative gastro-jejunostomy was performed. Patient had an attack of acute myocardial infarction on post-operative day 6th and expired. Histopathology of the specimen confirmed adenocarcinoma of duodenum. CONCLUSIONS: Adenocarcinoma of duodenojejunal flexure is extremely rare and sometimes difficult to diagnose. Computed tomography scan has a high accuracy in detecting the disease and its metastatic spread to stage the disease. For unresectable tumors, palliative gastro-jejunostomy is the treatment of choice.

KEY WORDS: ADENOCARCINOMA; DUODENUM; DUODENOJEJUNAL FLEXURE; COMPUTED TOMOGRAPHY SCAN; GASTRO-JEJUNOSTOMY

SHORT TITLE: Adenocarcinoma of duodenojejunal flexure

HOW TO CITE: Sahu SK, Singh PK, Singh BP, Raghuvanshi S, Sachan PK. Adenocarcinoma of duodenum at the duodenojejunal flexure. Jurnalul de chirurgie (Iaşi). 2013; 9(3): 253-256. DOI: 10.7438/1584-9341-9-3-8.


: 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.