Duodenal Adenocarcinoma: A Rare Finding. A Case Report

Authors

DOI:

https://doi.org/10.22516/25007440.1273

Keywords:

Adenocarcinoma, duodenal diseases, abdominal pain, general surgery

Abstract

Introduction: Duodenal adenocarcinoma is an uncommon but aggressive malignancy. Surgical resection is the cornerstone of treatment, and in some cases, pancreatoduodenectomy or segmental duodenal resection is required. In multimodal management, chemotherapy and radiotherapy play a fundamental role.

Objective: To describe the case of an elderly patient with a tomographic finding of a duodenal mass causing near-complete luminal obstruction, who underwent open duodenectomy and cholecystectomy, revealing intraoperatively a tumor in the third and fourth portions of the duodenum with involvement of retroperitoneal tissues.

Discussion: Duodenal neoplasms are extremely rare. Surgical intervention remains the treatment of choice for this pathology.

Conclusions: Duodenal adenocarcinoma is a very rare condition. Its clinical presentation is nonspecific, necessitating suspicion in patients with associated risk factors.

Downloads

Download data is not yet available.

Author Biographies

Cristian Tarazona Leon, Hospital Internacional de Colombia

Surgeon, Specialist in General Surgery, Subspecialist in Transplantation and Hepatopancreatobiliary surgery. International Hospital of Colombia, Cardiovascular Foundation. Bucaramanga, Colombia.

Mauricio Vanegas Ballesteros, Hospital Internacional de Colombia

Surgeon, Specialist in General Surgery, Subspecialist in Hepatopancreatobiliary surgery. International Hospital of Colombia, Cardiovascular Foundation. Bucaramanga, Colombia.

Fabio Alejandro Vergara, Hospital Internacional de Colombia

Surgeon, Specialist in General Surgery, Subspecialist in Hepatopancreatobiliary surgery. International Hospital of Colombia, Cardiovascular Foundation

Gianmarco Camelo Pardo, Fundación Cardiovascular de Colombia

Médico servicio de urgencias, Fundación Cardiovascular, Floridablanca, Colombia. Estudiante Magister Epidemiología. Hospital Internacional de Colombia. Bucaramanga, Colombia.

Luis Felipe Murcia, Fundación Cardiovascular de Colombia

Internist Physician Autonomous University Bucaramanga

Niyireth Alicia Trillos Padilla, Fundación Cardiovascular de Colombia

Doctor. General Surgery Service, International Hospital of Colombia; Bucaramanga; Colombia.

References

Cloyd JM, George E, Visser BC. Duodenal adenocarcinoma: Advances in diagnosis and surgical management. World J Gastrointest Surg. 2016;8(3):212-21. https://doi.org/10.4240/wjgs.v8.i3.212

Durham K, Zhang X, Bosch DE, Ashat M. Duodenal adenocarcinoma presenting as duodenal cystic dystrophy. Gastrointest Endosc. 2022;96(2):378-380. https://doi.org/10.1016/j.gie.2022.04.021

Yabuuchi Y, Yoshida M, Kakushima N, Kato M, Iguchi M, Yamamoto Y, et al. Risk Factors for Non-Ampullary Duodenal Adenocarcinoma: A Systematic Review. Dig Dis. 2022;40(2):147-155. https://doi.org/10.1159/000516561

Peño Muñoz L, Plana Campos L, Ferrer Barceló L, Sanchís Artero L, Larrey Ruiz L, Núñez Martínez P, et al. Adenocarcinoma duodenal: un diagnóstico poco frecuente. Rev Gastroenterol Perú. 2016;36(2):172-174.

Salmón Olavarría P, Cebrián García A, Carrascosa Gil J, Hervás Palacios N, Arrubla Gamboa A, Ruiz-Clavijo García D, et al. Primary adenocarcinoma of the fourth portion of the duodenum, an unsuspected diagnosis. Rev Esp Enferm Dig. 2022;114(7):437-438. https://doi.org/10.17235/reed.2022.8732/2022

Varshney VK, Varshney B, Khera S, Sureka B. Adenocarcinoma of the fourth portion of duodenum presenting as intussusception: an unusual manifestation of rare pathology. BMJ Case Rep. 2021;14(7):e244034. https://doi.org/10.1136/bcr-2021-244034

Ojeda Gómez A, Íñigo Chaves AM, Barragán Martínez J, Madero Velázquez L, Picó Sala MD, García Soria A, at al. What are the odds? Duodenum adenocarcinoma as a primary metachronic neoplasia. Rev Esp Enferm Dig. 2021;113(11):793-794. https://doi.org/10.17235/reed.2021.8200/2021

Gelsomino F, Balsano R, De Lorenzo S, Garajová I. Small Bowel Adenocarcinoma: From Molecular Insights to Clinical Management. Curr Oncol. 2022;29(2):1223-1236. https://doi.org/10.3390/curroncol29020104

Woo CG, Lee J, Son SM. Adenocarcinoma arising from heterotopic pancreas at the first portion of the duodenum: a case report. J Int Med Res. 2023;51(8):3000605231194902. https://doi.org/10.1177/03000605231194902

Ramia JM, Villar J, Palomeque A, Muffak K, Mansilla A, Garrote D, et al. Adenocarcinoma de duodeno. Cir Esp. 2005;77(4):208-12. https://doi.org/10.1016/S0009-739X(05)70839-3

Tocchi A, Mazzoni G, Puma F, Miccini M, Cassini D, Bettelli E, Tagliacozzo S. Adenocarcinoma of the third and fourth portions of the duodenum: results of surgical treatment. Arch Surg. 2003;138(1):80-5. https://doi.org/10.1001/archsurg.138.1.80

Figura 1. Esofagogastroduodenoscopia extrainstitucional con lesión polipoide ulcerada. Tomada de: Servicio de Gastroenterología, Centro de especialistas. Seleccionada por los autores.

Published

2025-09-30

How to Cite

Tarazona Leon, C., Vanegas Ballesteros, M., Vergara, F. A., Camelo Pardo, G., Murcia, L. F., & Trillos Padilla, N. A. (2025). Duodenal Adenocarcinoma: A Rare Finding. A Case Report. Revista Colombiana De Gastroenterología, 40(3), 346–351. https://doi.org/10.22516/25007440.1273