<p>Primary Duodenal Adenocarcinoma: Uncommon Tumor, Uncommon Presentation. A Case Report and Review of the Literature</p>

• DOI: 10.2147/imcrj.s256107
• Publication Date: 2020-05-14T23:49:13Z
• Authors: Shital Khanal; Utsav Joshi; Adheesh Bhattarai; Vishakha Agrawal; Gita Sayami; Ramesh Singh Bhan...
• Keywords: Duodenal stenosis; Epigastric pain; Presentation (obstetrics); Anorexia

The symptoms of primary duodenal adenocarcinoma, which is a rare but aggressive tumor, are vague and nonspecific often result in delayed diagnosis or misdiagnosis. This results a tumor being diagnosed at an advanced stage when it becomes unresectable secondary to local distant spread.A 64-year-old Nepalese female presented our hospital with epigastric pain, anorexia, significant weight loss that developed over two-and-a-half months. Upper gastrointestinal endoscopy showed ulceroproliferative growth the first part duodenum no features stenosis. Contrast-enhanced computed tomography abdomen revealed heterogeneously enhancing, circumferential, asymmetrical thickening multiple liver metastases. Biopsy mass suggestive moderately differentiated adenocarcinoma duodenum. She was managed palliative care during her stay. unique presentation case did not cause stenosis patient could consume food till last day life.In patients non-stenotic lesion also possibility. Clinicians should always maintain high degree suspicion avoid delay