Case Report


Primary adenocarcinoma of the angle of Treitz: A case report

,  ,  ,  

1 General Surgery Department, West Hertfordshire Hospitals NHS Trust, UK

2 General Surgery Department, Fayoum University Hospital, Cairo, Egypt

Address correspondence to:

Sherif Monib

West Hertfordshire Hospitals NHS Trust, St Albans City Hospital, 56 Waverly Road, St Albans, AL3 5PN,

UK

Message to Corresponding Author


Article ID: 101173Z01SM2020

doi: 10.5348/101173Z01SM2020CR

Access full text article on other devices

Access PDF of article on other devices

How to cite this article

Monib S, Elkorety M, Renaudon-Smith E, Habashy H. Primary adenocarcinoma of the angle of Treitz: A case report. Int J Case Rep Images 2020;11:101173Z01SM2020.

ABSTRACT


Introduction: Adenocarcinoma of the fourth part of the duodenum is rare, and patients often present with a long history of non-specific symptoms, sometimes with advanced disease.

Case Report: We report the case of a 41-year-old male patient presenting with symptoms of upper gastrointestinal obstruction. Investigations included upper gastrointestinal (GI) endoscopy, barium follow-through, ultrasound, and computed tomography, which indicated gastric outlet obstruction. The precise nature of the lesion was subsequently revealed following diagnostic laparoscopy and laparotomy where an obstructing mass involving the duodenojejunal junction was identified. Segmental resection with a 2 cm safety margin, end to side anastomosis, and feeding jejunostomy was performed, and the lesion was confirmed as adenocarcinoma with free surgical margins. The patient made a good postoperative recovery with one year follow-up oesophagogastroduodenoscopy (OGD) and computed tomography (CT) scan, excluding local or nodal recurrence.

Conclusion: A high index of suspicion coupled with appropriate investigation and early surgical resection is necessary to manage the disease and improve prognosis.

Keywords: Adenocarcinoma, Angle of Treitz, Gastric outlet obstruction

SUPPORTING INFORMATION


Author Contributions

Sherif Monib - Substantial contributions to conception and design, Interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published

Mohamed Elkorety - Interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published

Edward Renaudon-Smith - Interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published

Hany Habashy - Substantial contributions to conception and design, Acquisition of data, Analysis of data, Interpretation of data, Drafting the article, Final approval of the version to be published

Guarantor of Submission

The corresponding author is the guarantor of submission.

Source of Support

None

Consent Statement

Written informed consent was obtained from the patient for publication of this article.

Data Availability

All relevant data are within the paper and its Supporting Information files.

Conflict of Interest

Authors declare no conflict of interest.

Copyright

© 2020 Sherif Monib et al. This article is distributed under the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any medium provided the original author(s) and original publisher are properly credited. Please see the copyright policy on the journal website for more information.