Duodenal adenocarcinoma

Case contributed by Dr Ammar Haouimi

Presentation

Chronic epigastric pain, vomiting, and weight loss.

Patient Data

Age: 50 years
Gender: Female
CT

There is an irregular circumferential thickening of the 3rd/4th parts of the duodenum (length =8 cm), extending to the 1st jejunal loop with heterogeneous enhancement following IV contrast and mild distension of the proximal duodenum. There is an obliteration of the periduodenal/duodenopancreatic fat plane with no pancreatic involvement on sagittal reconstruction. The tumor is in contact with the infrarenal aorta with partial vascular encasement of the superior/inferior mesenteric arteries, and inferior mesenteric vein. Small peritumoural lymphadenopathies are noted.

The liver shows a small hypodense nodule (7 mm) in segment II (confirmed by ultrasound as a simple hepatic cyst).

 

Case Discussion

CT features of a malignant duodenal tumor, pathologically proven as adenocarcinoma.

How to use cases

You can use Radiopaedia cases in a variety of ways to help you learn and teach.

Creating your own cases is easy.

Updating… Please wait.

 Unable to process the form. Check for errors and try again.

 Thank you for updating your details.