Vol 1 No 1 (2018): Current Issue
Case Report

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

Singh S
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
Published October 1, 2018
Keywords
  • Adenocarcinoma third part duodenum,
  • Difficult endoscopy,
  • Pancreaticoduodenectomy,
  • Pancreassparing duodenectomy,
  • Segmental duodenectomy,
  • Push endoscopy,
  • Whipple’s operation
  • ...More
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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.