Duodenal Adenocarcinoma: 4 Cases Report

IF 1.3 Q2 MEDICINE, GENERAL & INTERNAL Saudi Journal of Medicine & Medical Sciences Pub Date : 2023-08-10 DOI:10.36348/sjm.2023.v08i08.004
M. Traore, J. Sabar, Jalil Medarheri
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Abstract

Duodenal adenocarcinoma being the most common tumor of the small intestine: 33 to 48%, it remains very rare representing only 0.5% of malignant tumors of the digestive tract. Our retrospective study focused on four cases during the period 2017-2022 with an average age of 53.25 years and a sex ratio of 1M/3F. The clinical signs were varied with a predominance of cholestatic jaundice and a deterioration in general condition. The diagnosis was confirmed thanks to the endoscopy and the anatomopathological study of the biopsies carried out in all our patients. All our patients benefited from a surgical treatment, curative or palliative, which consisted of three cephalic pancreaticoduodenectomy and in one case a gastro-jejunal anastomosis. The post-operative follow-up was simple in two patients, one of our patients presented with gastroparesis which progressed well under medical treatment. In addition, we deplore a death which presented a hemoperitoneum related to a hemostasis disorder.
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十二指肠腺癌4例报告
十二指肠腺癌是小肠最常见的肿瘤:占33 - 48%,但它仍然非常罕见,仅占消化道恶性肿瘤的0.5%。我们的回顾性研究集中在2017-2022年期间的4例,平均年龄为53.25岁,性别比例为1M/3F。临床表现多样,以胆汁淤积性黄疸为主,一般情况恶化。我们对所有患者进行了内窥镜检查和活检的解剖病理研究,证实了诊断。所有患者均接受手术治疗,包括三例头侧胰十二指肠切除术和一例胃-空肠吻合术。2例患者术后随访简单,其中1例患者表现为胃轻瘫,经药物治疗进展良好。此外,我们对一例出现与止血障碍有关的腹膜出血的死亡感到遗憾。
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来源期刊
Saudi Journal of Medicine & Medical Sciences
Saudi Journal of Medicine & Medical Sciences MEDICINE, GENERAL & INTERNAL-
CiteScore
1.40
自引率
0.00%
发文量
52
审稿时长
15 weeks
期刊介绍: Saudi Journal of Medicine & Medical Sciences (SJMMS) is the official scientific journal of Imam Abdulrahman Bin Faisal University. It is an international peer-reviewed, general medical journal. The scope of the Journal is to publish research that will be of interest to health specialties both in academic and clinical practice. The Journal aims at disseminating high-powered research results with the objective of turning research into knowledge. It seeks to promote scholarly publishing in medicine and medical sciences. The Journal is published in print and online. The target readers of the Journal include all medical and health professionals in the health cluster such as in medicine, dentistry, nursing, applied medical sciences, clinical pharmacology, public health, etc.
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