1Clinical Fellow, Department of Surgical Oncology, Fortis Hospital & Cancer Institute, Mulund, Mumbai, India
2Professor, Department of General Surgery, A.J. Institute of Medical Sciences, Mangalore, India
3Post-Graduate, Department of General Surgery, A.J. Institute of Medical Sciences, Mangalore, India
4Junior Intensivist, Parsi General Hospital, Breach Candy, Mumbai, India
*Corresponding author email id: rshenoysurgeon@gmail.com
Adenocarcinoma of the third part of the duodenum is a rare occurrence. It is diagnosed at later stages and follows an aggressive course. We present a 42-year-old patient who came to us with symptoms of florid intestinal obstruction and weight loss. Upper Gastro-intestinal (GI) endoscopy showed circumferential growth in the third part of the duodenum with stenosis. Endoscopic biopsy was done which showed poorly differentiated adenocarcinoma. Computerised tomogram (CT) abdomen showed growth in 3rd and 4th portion of the duodenum with para-duodenal lymph nodes and multiple hepatic metastasis.
Duodenum, Adenocarcinoma, Hepatic metastasis, Segmental resection Duodenocephalopancreatectomy
