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[Hamartoma of the duodenum].
I Gockel1, K Oberholzer, C Corinth
1Klinik und Poliklinik für Allgemein- und Abdominalchirurgie. gockel@ach.klinik.uni-mainz.de
Deutsche Medizinische Wochenschrift (1946)
|July 1, 2005
Summary
A duodenal hamartoma, a rare benign tumor, caused significant digestive issues in a patient. Surgical resection, specifically a pylorus-preserving partial duodenopancreatectomy, was successfully performed.
Area of Science:
- Gastroenterology
- Surgical Oncology
- Pathology
Background:
- A 61-year-old male presented with persistent postprandial vomiting, epigastric pain, and significant weight loss.
- History of laparoscopic cholecystectomy three years prior for presumed biliary pancreatitis.
Observation:
- Endoscopy revealed a thickened duodenal wall with stenosis at the papilla and a duodenal bulb mass.
- Biopsies were negative for malignancy; imaging showed eccentric duodenal stenosis without extraluminal extension or lymphadenopathy.
Findings:
- Histological examination of the resected specimen confirmed a hamartoma of the duodenal wall, alongside chronically fibrosing pancreatitis.
- A pylorus-preserving partial duodenopancreatectomy was performed with an uncomplicated postoperative course.
Implications:
- While endoscopic removal or transduodenal resection are common for duodenal hamartomas, this case highlights partial duodenopancreatectomy as a viable, albeit rare, surgical option.
- The atypical presentation and unclear initial histology necessitated a more extensive surgical approach, demonstrating its utility in complex cases.