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Erschienen in: European Surgery 2/2023

01.02.2023 | case report

Adenocarcinoma of the duodenojejunal flexure: our recent experience

verfasst von: Nebojsa Mitrovic, MD, PhD, Dejan Stevanovic, Damir Jasarovic, Aleksandar Lazic

Erschienen in: European Surgery | Ausgabe 2/2023

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Summary

Background

Duodenal adenocarcinomas account for 0.3% of all gastrointestinal malignancies. Most of them are found in the second portion of the duodenum, while those in the third and/or fourth portions, particularly at the duodenojejunal flexure, are very rare, representing a separate entity.

Case presentation

We had two male patients who presented with non-specific symptoms in the form of pain in the upper abdomen accompanied by nausea and vomiting. After CT diagnostics had revealed duodenal lesions in the region of the Treitz ligament, patients were subjected to operative treatment, with curative intent in the first case and palliative intent in the second case due to peritoneal carcinomatosis.

Conclusion

The insidious onset and vague abdominal symptoms, even when the disease has progressed, coupled with the difficulty of viewing this location and performing a biopsy, make diagnosing these neoplasms particularly difficult. The only possible curative option is surgical resection. A higher degree of suspicion and a more aggressive and persistent investigation should lead to earlier treatment, a higher curative resectability rate, and therefore better long-term results.
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Metadaten
Titel
Adenocarcinoma of the duodenojejunal flexure: our recent experience
verfasst von
Nebojsa Mitrovic, MD, PhD
Dejan Stevanovic
Damir Jasarovic
Aleksandar Lazic
Publikationsdatum
01.02.2023
Verlag
Springer Vienna
Erschienen in
European Surgery / Ausgabe 2/2023
Print ISSN: 1682-8631
Elektronische ISSN: 1682-4016
DOI
https://doi.org/10.1007/s10353-022-00792-6

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