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Metastatic Cervical Cancer to the Duodenum: A Learning Point
1General Surgery, Princess Alexandra Hospital, Harlow, GBR.
Metastatic cervical cancer can cause gastric outlet obstruction and bowel obstruction symptoms. This case highlights the importance of considering cancer spread in patients with a history of cervical cancer presenting with abdominal pain.
Area of Science:
- Gastroenterology
- Oncology
Background:
- Elderly female patient with a history of renal cell carcinoma and cervical cancer presented with abdominal pain and bowel obstruction.
- Investigations revealed gastric outlet obstruction and mild small bowel distension, with elevated alkaline phosphatase (ALP).
Observation:
- Oesophago-gastroduodenoscopy (OGD) identified a stricture at the D1/D2 junction.
- An enteric stent was successfully placed to alleviate the obstruction.
Findings:
- Biopsies confirmed metastatic cervical cancer as the cause of the duodenal stricture.
- This represents a rare instance of cervical cancer metastasis to the duodenum.
Implications:
- Obstructive bowel symptoms in patients with cervical cancer warrant investigation for metastases.
- Early recognition of duodenal metastases from cervical cancer is crucial for timely management.
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