Duodenal adenocarcinoma: a rare cause of intestinal obstruction in young adult

Authors

  • Parth Parmar Department of Surgery, Lady Hardinge Medical College, New Delhi, India
  • Shadan Ali Department of Surgery, Lady Hardinge Medical College, New Delhi, India
  • Romesh Lal Department of Surgery, Lady Hardinge Medical College, New Delhi, India
  • Saurabh Borgharia Department of Surgery, Lady Hardinge Medical College, New Delhi, India
  • Manoj Andley Department of Surgery, Lady Hardinge Medical College, New Delhi, India
  • Gyan Saurabh Department of Surgery, Lady Hardinge Medical College, New Delhi, India

DOI:

https://doi.org/10.18203/2349-2902.isj20210943

Keywords:

Duodenal adenocarcinoma, Young adult, Intestinal obstruction

Abstract

Primary adenocarcinoma of duodenum is a very rare and aggressive malignancy, found in middle or elderly age group and usually arising in the second portion of the duodenum, followed by third or fourth. Cancers of the first portion of the duodenum, especially the duodenal bulb are extremely rare. The causative factors for duodenal adenocarcinoma are dietary factors, ingestion of alcohol, coffee and use of tobacco. It may occur from duodenal polyps present in familial polyposis or may be associated. In young age it is associated with polyposis syndromes or with Crohn’s disease affecting small bowel. Very few reports discuss the diagnosis and treatment of such malignancy and very few cases have been reported in young age less than 30years. We are reporting a case of 22 years old gentleman who presented to us with history of recurrent abdominal pain and vomiting. After evaluation it was diagnosed as adenocarcinoma of third and fourth part of duodenum without any associated syndromes or inflammatory bowel diseases and was managed by surgical resection and chemotherapy.

Author Biographies

Parth Parmar, Department of Surgery, Lady Hardinge Medical College, New Delhi, India

JUNIOR RESIDENT, ( POST GRADUATE THIRD YEAR) DEPARTMENT OF SURGERY.

Shadan Ali, Department of Surgery, Lady Hardinge Medical College, New Delhi, India

Proffesor of Surgery

Romesh Lal, Department of Surgery, Lady Hardinge Medical College, New Delhi, India

Director-Proffesor and Head of Surgery

Saurabh Borgharia, Department of Surgery, Lady Hardinge Medical College, New Delhi, India

Associate Proffesor Surgery

Manoj Andley, Department of Surgery, Lady Hardinge Medical College, New Delhi, India

Director-Proffesor of department of Surgery

Gyan Saurabh, Department of Surgery, Lady Hardinge Medical College, New Delhi, India

Proffesor of surgery

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Published

2021-02-25

Issue

Section

Case Reports