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A Rare Case of Duodenal Adenocarcinoma Presenting as a Subepithelial Lesion in a Patient Undergoing Investigation for Iron Deficiency Anaemia
Joint Authors
Hu, Xinxin
Aivazian, Karina
McKenzie, Catriona
Wong, May
Kaffes, Arthur
Saxena, Payal
Source
Case Reports in Gastrointestinal Medicine
Issue
Vol. 2019, Issue 2019 (31 Dec. 2019), pp.1-4, 4 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2019-10-07
Country of Publication
Egypt
No. of Pages
4
Main Subjects
Abstract EN
Introduction.
Adenocarcinomas account for approximately 40% of small bowel cancers.
They are typically mucosal lesions with distinctive features on endoscopy.
We describe a rare case of duodenal adenocarcinoma presenting as a subepithelial lesion which posed a diagnostic challenge.
Case.
An 85-year-old male patient presented for investigation of iron deficiency anaemia.
Initial upper endoscopy found a subepithelial duodenal lesion with central depression but otherwise normal appearing mucosa.
Superficial biopsies of the duodenal lesion were unremarkable.
Subsequent antegrade single balloon enteroscopy revealed active bleeding from the lesion which was refractory to endoscopic treatment.
A complete local excision of the lesion via laparotomy was necessary to achieve haemostasis.
Histopathology from the lesion showed a moderately differentiated duodenal adenocarcinoma with invasion into the submucosa but no evidence of lymphovascular spread.
Conclusion.
Duodenal adenocarcinomas are rare gastrointestinal tumours associated with a poor prognosis.
This case report outlines a rare presentation of duodenal adenocarcinoma and highlights the importance of judicious assessment of lesions found on endoscopy.
Advances in endoscopic diagnostic modalities could facilitate early diagnosis and improve therapeutic outcomes.
American Psychological Association (APA)
Hu, Xinxin& Aivazian, Karina& McKenzie, Catriona& Wong, May& Kaffes, Arthur& Saxena, Payal. 2019. A Rare Case of Duodenal Adenocarcinoma Presenting as a Subepithelial Lesion in a Patient Undergoing Investigation for Iron Deficiency Anaemia. Case Reports in Gastrointestinal Medicine،Vol. 2019, no. 2019, pp.1-4.
https://search.emarefa.net/detail/BIM-1136180
Modern Language Association (MLA)
Hu, Xinxin…[et al.]. A Rare Case of Duodenal Adenocarcinoma Presenting as a Subepithelial Lesion in a Patient Undergoing Investigation for Iron Deficiency Anaemia. Case Reports in Gastrointestinal Medicine No. 2019 (2019), pp.1-4.
https://search.emarefa.net/detail/BIM-1136180
American Medical Association (AMA)
Hu, Xinxin& Aivazian, Karina& McKenzie, Catriona& Wong, May& Kaffes, Arthur& Saxena, Payal. A Rare Case of Duodenal Adenocarcinoma Presenting as a Subepithelial Lesion in a Patient Undergoing Investigation for Iron Deficiency Anaemia. Case Reports in Gastrointestinal Medicine. 2019. Vol. 2019, no. 2019, pp.1-4.
https://search.emarefa.net/detail/BIM-1136180
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1136180