Somasegar Sahana, Tostrud Lauren, Poultsides George, Renz Malte
Department of Obstetrics & Gynecology, Stanford University School of Medicine, Palo Alto, CA, USA.
Section of Surgical Oncology, Department of Surgery, Stanford University School of Medicine, Palo Alto, CA, USA.
Heliyon. 2024 Aug 19;10(16):e36581. doi: 10.1016/j.heliyon.2024.e36581. eCollection 2024 Aug 30.
Since ovarian cancer typically spreads intraperitoneally or via lymphatics, a retroperitoneal duodenal obstruction is a rare presentation of ovarian cancer. Such upper gastrointestinal obstruction in a young patient is diagnostically challenging and surgically difficult to address. In this case report, we describe that in an interdisciplinary approach a Whipple pancreaticoduodenectomy could be safely implemented into the interval debulking surgery to achieve complete cytoreduction. No postoperative complications were encountered. The surgical procedure was able to remove the upper gastrointestinal obstruction and thereby the need for a venting gastrostomy tube and total parenteral nutrition and thus provided good quality of life and additional lifetime.
由于卵巢癌通常通过腹膜内或淋巴管扩散，十二指肠腹膜后梗阻是卵巢癌的一种罕见表现。这种年轻患者的上消化道梗阻在诊断上具有挑战性，手术处理也很困难。在本病例报告中，我们描述了在多学科方法中，胰十二指肠切除术可以安全地纳入间隔减瘤手术以实现完全细胞减灭。未出现术后并发症。该手术能够消除上消化道梗阻，从而避免了放置胃造瘘减压管和全胃肠外营养的需要，因此提供了良好的生活质量和更长的生存期。
