Limits...
Small bowel diverticulosis in patient with early gastric cancer.

Kim PS, Jung EJ, Bang HY - Ann Surg Treat Res (2014)

Bottom Line: Following gastroduodenoscopy, we identified adenocarcinoma of the lower body of the stomach.On abdominopelvic computed tomography, diverticula of duodenum and jejunum were found.She was discharged on the tenth postoperative day without complications.

View Article: PubMed Central - PubMed

Affiliation: Department of Surgery, Konkuk University Medical Center, Konkuk University School of Medicine, Seoul, Korea.

ABSTRACT
Jejunal and ileal diverticula are rare in adults. Duodenal diverticula are five times more prevalent than jejunoileal diverticula. Most patients are asymptomatic. However, chronic symptoms including intermittent abdominal pain, flatulence, diarrhea and constipation are seen in 10%-30% of patients. Gastric cancer is the second most common cancer in South Korea and here we report a case of early gastric cancer with multiple duodenal and jejunal diverticula. A 67-year-old woman was admitted to Konkuk University Medical Center with chronic diarrhea and weight loss of 19 kg over 2 months. Following gastroduodenoscopy, we identified adenocarcinoma of the lower body of the stomach. On abdominopelvic computed tomography, diverticula of duodenum and jejunum were found. Patient underwent distal gastrectomy and gastroduodenostomy with lymphadenectomy. She was discharged on the tenth postoperative day without complications.

No MeSH data available.


Related in: MedlinePlus

Diverticula in the second and third portions of the duodenum on gastroduodenoscopy.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
getmorefigures.php?uid=PMC4196433&req=5

Figure 1: Diverticula in the second and third portions of the duodenum on gastroduodenoscopy.

Mentions: In gastroduodenoscopy, we identified a 5-mm ulcerative lesion on the greater curvature of the lower body of the stomach and duodenal diverticula on second and third parts of the duodenum (Fig. 1). The lesion of the stomach was endoscopically clipped. Pathology study of the endoscopic biopsy confirmed a moderately differentiated adenocarcinoma. Abdominopelvic computed tomography (APCT) revealed multiple diverticula in duodenum and jejunum. Small bowel loops were slightly dilated with fluid and there was no evidence of inflammation around diverticula (Fig. 2). APCT did not find lymphadenopathy or distant metastasis, therefore, the clinical stage of this gastric cancer was cT1N0M0.


Small bowel diverticulosis in patient with early gastric cancer.

Kim PS, Jung EJ, Bang HY - Ann Surg Treat Res (2014)

Diverticula in the second and third portions of the duodenum on gastroduodenoscopy.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4196433&req=5

Figure 1: Diverticula in the second and third portions of the duodenum on gastroduodenoscopy.
Mentions: In gastroduodenoscopy, we identified a 5-mm ulcerative lesion on the greater curvature of the lower body of the stomach and duodenal diverticula on second and third parts of the duodenum (Fig. 1). The lesion of the stomach was endoscopically clipped. Pathology study of the endoscopic biopsy confirmed a moderately differentiated adenocarcinoma. Abdominopelvic computed tomography (APCT) revealed multiple diverticula in duodenum and jejunum. Small bowel loops were slightly dilated with fluid and there was no evidence of inflammation around diverticula (Fig. 2). APCT did not find lymphadenopathy or distant metastasis, therefore, the clinical stage of this gastric cancer was cT1N0M0.

Bottom Line: Following gastroduodenoscopy, we identified adenocarcinoma of the lower body of the stomach.On abdominopelvic computed tomography, diverticula of duodenum and jejunum were found.She was discharged on the tenth postoperative day without complications.

View Article: PubMed Central - PubMed

Affiliation: Department of Surgery, Konkuk University Medical Center, Konkuk University School of Medicine, Seoul, Korea.

ABSTRACT
Jejunal and ileal diverticula are rare in adults. Duodenal diverticula are five times more prevalent than jejunoileal diverticula. Most patients are asymptomatic. However, chronic symptoms including intermittent abdominal pain, flatulence, diarrhea and constipation are seen in 10%-30% of patients. Gastric cancer is the second most common cancer in South Korea and here we report a case of early gastric cancer with multiple duodenal and jejunal diverticula. A 67-year-old woman was admitted to Konkuk University Medical Center with chronic diarrhea and weight loss of 19 kg over 2 months. Following gastroduodenoscopy, we identified adenocarcinoma of the lower body of the stomach. On abdominopelvic computed tomography, diverticula of duodenum and jejunum were found. Patient underwent distal gastrectomy and gastroduodenostomy with lymphadenectomy. She was discharged on the tenth postoperative day without complications.

No MeSH data available.


Related in: MedlinePlus