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An 81-year-old woman with a history of hypertension, hyperlipidemia, and dementia presented with nausea and vomiting; CT of the abdomen suggested gastric outlet obstruction from a soft-tissue mass at the… Click to show full abstract
An 81-year-old woman with a history of hypertension, hyperlipidemia, and dementia presented with nausea and vomiting; CT of the abdomen suggested gastric outlet obstruction from a soft-tissue mass at the level of the duodenum (Fig. 1). Upper endoscopy confirmed a malignant-appearing stricture in the second portion of the duodenum, which did not permit the passage of a pediatric gastroscope. The patient underwent exploratory laparotomy, which confirmed a well-differentiated duodenal adenocarcinoma, and she received a palliative surgical gastrojejunostomy. Her course was complicated by obstructive jaundice secondary to multiple bile duct stones. Owing to the inaccessibility of her papilla, she underwent percutaneous
Journal Title: VideoGIE
Year Published: 2017
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