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Case Studies | General Science | India | Volume 12 Issue 9, September 2023 | Popularity: 4.8 / 10

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Challenges in Diagnosing and Treating Rare Duodenal Carcinoma: A Case Report

Ravi Shankar Bagepally, Pavan Kumar Addala, Milap Shah, Deepthi Sada

Abstract: Duodenal carcinomas are uncommon compared to other areas of the GI tract. This rarity in location makes it less suspicious and thus delay in diagnosis. We report a case of well differentiated duodenal adenocarcinoma diagnosed after detailed evaluation and treated by surgical management. A 39 - year - old woman presented with abdominal pain, bilious vomitings, decreased appetite and anorexia since 5 months. She was evaluated with UGI scopy, barium follow through, followed by enteroscopy for diagnosis. A biopsy was taken for establishing the diagnosis and FDG PET - CECT was done for staging. After confirming Adenocarcinoma from D3, laparotomy with segmental resection of duodenum and duodeno jejunal anastomosis was planned and executed. Histopathology of the specimen revealed pT3N2 stage and the patient received adjuvant chemotherapy. This case is reported in view of rarity of the disease, difficulty in making a diagnosis with routine diagnostic methods and a big challenge for surgical resection due to lack of standard oncological surgical methods.

Keywords: Intestinal Obstruction, Neoplasm, Enteroscopy, Duodenal Resection

Edition: Volume 12 Issue 9, September 2023

Pages: 940 - 942

DOI: https://www.doi.org/10.21275/SR23908120615

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