Choudhary Arushi, Patro Shubhransu, Mohapatra Vedavyas, Das Swati, Mishra Akruti, Misra Purusottam, Kossuru Sham Charan, Nath Preetam, Giri Suprabhat
General Medicine, Kalinga Institute of Medical Sciences, Bhubaneswar, IND.
Surgical Gastroenterology, Kalinga Institute of Medical Sciences, Bhubaneswar, IND.
Cureus. 2024 Dec 22;16(12):e76196. doi: 10.7759/cureus.76196. eCollection 2024 Dec.
The small intestine is the longest segment of the gastrointestinal (GI) tract, but cancers in the small intestine are infrequent. The duodenojejunal (DJ) flexure is an uncommon site for tumors, and those located in these sites are difficult to identify and manage properly. Their rarity, along with ambiguous symptoms that can be readily misattributed to milder conditions, results in a delayed diagnosis when the tumors have significantly advanced. We described the case report of a middle-aged woman presenting with features of intestinal obstruction with gastrointestinal bleeding, showing enteroenteric fistula on enteroscopy and cross-sectional imaging, which was later diagnosed as a case of adenocarcinoma treated with surgical resection. We also systematically reviewed the current literature on DJ flexure tumors and compiled data based on various clinical presentations, radiological findings, associated syndromes, management, and outcomes.
小肠是胃肠道（GI）中最长的一段，但小肠癌并不常见。十二指肠空肠（DJ）曲是肿瘤的罕见部位，位于这些部位的肿瘤难以正确识别和处理。它们的罕见性，以及可能容易被误诊为较轻病症的模糊症状，导致肿瘤显著进展时诊断延迟。我们描述了一例中年女性的病例报告，该患者表现出肠梗阻伴胃肠道出血的特征，在肠镜检查和横断面成像中显示肠肠瘘，后来被诊断为腺癌并接受了手术切除治疗。我们还系统地回顾了关于DJ曲肿瘤的当前文献，并根据各种临床表现、影像学发现、相关综合征、治疗和结果汇编了数据。
