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Updated: Jun 14, 2026
03:37
Application of Robot-assisted Pancreaticobiliary Junction Resection in Benign Duodenal Tumors
Published on: December 20, 2024
Primary adenocarcinoma of duodenum
Shahida Parveen Afridi1, Yasir Mohib, Shafiq-ur-Rahman
1Department of General Surgery, Dow University of Health Sciences and Civil Hospital, Karachi. drshahishakeel@yahoo.com
Summary
Primary duodenal adenocarcinoma, a rare cancer of the distal duodenum, can cause significant small bowel obstruction. This case highlights a young male patient successfully treated with surgical resection and anastomosis.
Area of Science:
- Gastroenterology
- Surgical Oncology
- Oncology
Background:
- Primary duodenal adenocarcinoma (PDC) is exceptionally rare, particularly in the distal duodenum.
- Distal duodenal tumors often present late with obstructive symptoms.
Observation:
- A young male presented with chronic proximal small bowel obstruction, weight loss, and anemia.
- Endoscopic and CT imaging revealed a fungating intraluminal mass in the third and fourth duodenal segments.
Findings:
- The patient underwent successful segmental resection of the distal duodenum.
- A single-layer extra-mucosal duodenojejunal anastomosis was performed for reconstruction.
Implications:
- This case underscores the importance of considering rare malignancies in the differential diagnosis of small bowel obstruction.
- Surgical intervention can be curative for localized distal duodenal adenocarcinoma.
- Further research into early diagnostic markers for PDC is warranted.
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