Lynch syndrome: duodenojejunal adenocarcinoma

Case contributed by Natalie Yang


Abdominal pain. Prior surgery.

Patient Data

Age: Young adult

Evidence of prior abdominal surgery with no large bowel gas visible (total prophylactic colectomy). Apparent rounded soft tissue mass in the left upper quadrant. 

In the left upper quadrant, anterior to the renal pelvis, is a focal region of mural thickening with consistent (in a patient with known Lynch syndrome) with a DJ flexure adenocarcinoma. Note the previous colectomy. 

Case Discussion

This patient has known Lynch syndrome and has had prophylactic colectomy. 

Presents with DJ flexure adenocarcinoma, confirmed at laparotomy. 

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.