Diagnostic and Management Difficulties in the Adenocarcinoma Third Part of Duodenum: A Case Discussion

  • Sunita Singh Department of Surgery, All India Institute of Medical Sciences (AIIMS), Raipur, Chhattisgarh, India
  • Mohanty D Department of Surgery, All India Institute of Medical Sciences (AIIMS), Raipur, Chhattisgarh, India
  • Srivastava NK Department of Trauma and Emergency, All India Institute of Medical Sciences (AIIMS), Raipur, Chhattisgarh, India
  • Sharma H Gastroenterologist, Ex Senior Resident All India Institute of Medical Sciences New Delhi, India
  • Singh V Department of pathology, All India Institute of Medical Sciences (AIIMS), Raipur, Chhattisgarh, India
Keywords: Adenocarcinoma third part duodenum, Difficult endoscopy, Pancreaticoduodenectomy, Pancreassparing duodenectomy, Segmental duodenectomy, Push endoscopy, Whipple’s operation

Abstract

Duodenal Adenocarcinomas (DA) represent approximately 0.3% of all malignant gastrointestinal tumors. DA is the most common site for adenocarcinoma in gastrointestinal track. The most common site of DA within duodenum is the 2nd part of duodenum. A high degree of suspicion is required for the diagnosis of third/fourth part DA. Push enteroscopy is the definitive diagnostic tool for third/fourth part DA. We discussed a case of adenocarcinomas third part of the duodenum with brief discussion on controversies in optimal surgical management.

Published
2018-10-05
Section
Case Report