An Unusual Case of Duodenal Obstruction due to Metastatic Cervical Cancer.
10.7704/kjhugr.2012.12.2.128
- Author:
Seul Young KIM
1
;
Hyun Yong JEONG
;
Jae Kue SEONG
;
Kyu Sang SONG
;
Il Soon JUNG
;
Kyu Seop KIM
;
Beom Yong YOON
;
Hee Seok MOON
Author Information
1. Department of Internal Medicine, Chungnam National University School of Medicine, Daejeon, Korea. mhs1357@cnuh.co.kr
- Publication Type:Case Report
- Keywords:
Duodenal obstruction;
Duodenal stent
- MeSH:
Biopsy;
Duodenal Obstruction;
Duodenum;
Endoscopes;
Endoscopy;
Female;
Gynecology;
Humans;
Lymph Nodes;
Middle Aged;
Mucous Membrane;
Nausea;
Obstetrics;
Phenobarbital;
Stents;
Uterine Cervical Neoplasms;
Vagina;
Vomiting
- From:The Korean Journal of Helicobacter and Upper Gastrointestinal Research
2012;12(2):128-131
- CountryRepublic of Korea
- Language:English
-
Abstract:
We report a rare case of cervical cancer with duodenal obstruction accompanied by obstructive symptoms, which was treated using duodenal stenting. A 48-year-old woman was diagnosed with stage IV cervical cancer (according to the International Federation of Gynecology and Obstetrics staging system), which had invaded the vagina, the uterine body, and the external iliac and common iliac lymph nodes. Endoscopy showed an encircling mass with erythematous mucosa and luminal narrowing in the second and third portions of the duodenum, which prevented the endoscope from advancing. We placed an uncovered stent in the duodenum, which ameliorated abdominal discomfort, nausea, and vomiting, and simultaneously performed a biopsy. Endoscopic stent insertion appears to be the most effective treatment for duodenal obstruction in patients with advanced cancer.
