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Updated: Jan 30, 2026

Robotic D3 Partial Duodenal Resection with Primary Side-to-Side Anastomosis
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Duodenal Adenocarcinoma in a Patient with Partial Intestinal Malrotation
William T Li1, Sonia Sethi1, Adrienne N Christopher1
1Department of Surgery, Jefferson Pancreas, Biliary, and Related Cancer Center, Thomas Jefferson University, Philadelphia, Pennsylvania.
Abstract:
Background: Small bowel cancers, specifically duodenal cancer, occur at very low rates but require aggressive surgical resection when diagnosed. An even rarer finding is the presence of intestinal malrotation. Case Presentation: We present the unique case of a patient with both duodenal cancer and partial intestinal malrotation undergoing pancreaticoduodenectomy. We discuss the challenges faced and techniques used to successfully perform a surgical resection in this circumstance. Conclusion: Understanding of intestinal malrotation and review of the imaging is crucial in preparing for a resection of a duodenal tumor in a patient with this condition.
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