Afridi Shahida Parveen, Mohib Yasir
Department of General Surgery, Dow University of Health Sciences and Civil Hospital, Karachi.
J Coll Physicians Surg Pak. 2010 Feb;20(2):130-1.
Primary duodenal adenocarcinoma (PDC) of the distal half of duodenum is extremely rare. We report a case of a young male with adenocarcinoma of third and fourth part of duodenum presenting with long standing proximal small bowel obstruction with associated weight loss and anemia. Esophago-gastro-duodeno-scopy showed a fungating intraluminal growth in third and fourth part of the duodenum. Computed tomography also showed a solid mass in the third and fourth part of the duodenum. Computed tomography also showed a solid mass in the third and fourth part of the duodenum. Segmental resection of the third and fourth part of the duodenum was performed with single layer extra mucosal duodenojejunal anastomosis.
十二指肠远端的原发性十二指肠腺癌(PDC)极为罕见。我们报告一例年轻男性十二指肠第三和第四部分腺癌病例,该患者长期存在近端小肠梗阻,并伴有体重减轻和贫血。食管胃十二指肠镜检查显示十二指肠第三和第四部分有腔内蕈状生长。计算机断层扫描也显示十二指肠第三和第四部分有实性肿块。对十二指肠第三和第四部分进行了节段性切除,并采用单层黏膜外十二指肠空肠吻合术。