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Case Report
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| Primary duodenal adenocarcinoma of the fourth portion diagnosed using double-balloon enteroscopy and surgically resected: A case report | ||||||
| Shingo Kawano1, Koichi Sato1, Hiroshi Maekawa1, Mutsumi Sakurada1, Hajime Orita1, Ryo Wada2 | ||||||
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1Department of Surgery, Juntendo Shizuoka Hospital, Juntendo University School of Medicine, 1129 Nagaoka, Izunokuni-shi, Shizuoka 410-2295, Japan.
2Department of Pathology, Juntendo Shizuoka Hospital, Juntendo University School of Medicine, 1129 Nagaoka, Izunokuni-shi, Shizuoka 410-2295, Japan. | ||||||
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| How to cite this article: |
| Kawano S, Sato K, Maekawa H, Sakurada M, Orita H, Wada R. Primary duodenal adenocarcinoma of the fourth portion diagnosed using double-balloon enteroscopy and surgically resected: A case report. International Journal of Case Reports and Images 2012;3(11):35–39. |
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Abstract
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Introduction:
Primary duodenal adenocarcinoma is extremely rare. If this carcinoma occurs in fourth portion, it can now be diagnosed by recent developments in enteroscopy.
Case Report: We report a rare case of primary duodenal adenocarcinoma of the fourth portion diagnosed by double-balloon enteroscopy and resected surgically. A 57-year-old man was anemic. PET-CT revealed accumulation in the fourth portion of the duodenum. Double-balloon enteroscope showed circular tumor of the fourth portion of the duodenum, and biopsy disclosed poorly differentiated adenocarcinoma. Partial duodenectomy and partial colonectomy were performed. The marginal artery of the transverse colon was invaded. Histological examination disclosed that the tumor was poorly differentiated adenocarcinoma and two lymph node metastases were seen. Conclusion: Primary duodenal adenocarcinoma of fourth portion can be diagnosed by double-ballon enteroscopy and treated by surgical resection. | |
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Key Words:
Double-balloon entroscopy, Primary duodenal adenocarcinoma, The fourth portion
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Author Contributions:
Shingo Kawano – Substantial contributions to conception and design, Acquisition of data, Analysis and interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published Koichi Sato – Acquisition of data, Revising it critically for important intellectual content, Final approval of the version to be published Hiroshi Maekawa – Acquisition of data, Revising it critically for important intellectual content, Final approval of the version to be published Mutsumi Sakurada – Acquisition of data, Revising it critically for important intellectual content, Final approval of the version to be published Hajime Orita – Acquisition of data, Revising it critically for important intellectual content, Final approval of the version to be published Ryo Wada – Acquisition of data, Revising it critically for important intellectual content, Final approval of the version to be published |
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Guarantor of submission:
The corresponding author is the guarantor of submission. |
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Source of support:
None |
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Conflict of interest:
Authors declare no conflict of interest. |
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Copyright:
© Shingo Kawano et al. 2012; This article is distributed the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any means provided the original authors and original publisher are properly credited. (Please see Copyright Policy for more information.) |
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