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PRIMARY DUODENAL CANCER: CASE REPORT
Abstract
SUMMARY
Primary carcinoma of the duodenum is uncommonly encountered. This is a report of a 64-year-old
diabetic/hypertensive who was admitted in our unit with six months history of upper abdominal
pain, vomiting on and off and weight loss of greater than 10 kgs. Endoscopy revealed complete
obstruction of the third part of the duodenum. Lesion biopsy revealed moderately differentiated
adenocarcinoma and associated duodenitis. A staging CT scan showed thickening of the duodenal
wall over a span of six centimetres, luminal narrowing, mucosal irregularity and multiple paravascular
large nodes some greater than or equal to two centimetres. Palliative bypass surgery was
suggested as the preferred mode of treatment. He underwent cholecysto-jejunostomy/jejunojejunostomy
to palliate biliary and intestinal obstruction.
Primary carcinoma of the duodenum is uncommonly encountered. This is a report of a 64-year-old
diabetic/hypertensive who was admitted in our unit with six months history of upper abdominal
pain, vomiting on and off and weight loss of greater than 10 kgs. Endoscopy revealed complete
obstruction of the third part of the duodenum. Lesion biopsy revealed moderately differentiated
adenocarcinoma and associated duodenitis. A staging CT scan showed thickening of the duodenal
wall over a span of six centimetres, luminal narrowing, mucosal irregularity and multiple paravascular
large nodes some greater than or equal to two centimetres. Palliative bypass surgery was
suggested as the preferred mode of treatment. He underwent cholecysto-jejunostomy/jejunojejunostomy
to palliate biliary and intestinal obstruction.
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