title: Segmental resection of the third and fourth portions of the duodenum after intestinal derotation for a GIST: a case report.
abstract: We describe a case in which segmental resection of the third and fourth portion of the duodenum was performed for a very rare duodenal gastrointestinal tumor (GIST). A 58-year old man presented with melena. Capsule endoscopy revealed a pathological bleeding of the duodenum and oral contrast-CT enema confirmed a lesion of the duodenum inferior knee, measuring 3.5 cm in diameter. Such an image suggested a duodenal leiomyoma. Segmental resection of the third and fourth portion of the duodenum after intestinal derotation (Valdoni-Strong's procedure) was carried out and there were no post-operative complications. Pancreas sparing duodenal resection is at the present time indicated only in selected cases. The duodenal resection associated with bowel and right colon derotation has proved to be a safe and adequate procedure and could be preferred to other procedures.
authors.affiliation: Department of General Surgery Unit of General and Laparoscopic Surgery, University of G D'Annunzio, School of Medicine, Chieti.
authors.forename: P
authors.initials: P
authors.lastname: De Nicola
authors.forename: N
authors.initials: N
authors.lastname: Di Bartolomeo
authors.forename: F
authors.initials: F
authors.lastname: Francomano
authors.forename: A
authors.initials: A
authors.lastname: D'Aulerio
authors.forename: P
authors.initials: P
authors.lastname: Innocenti
mesh_terms: D013505:Digestive System Surgical Procedures / Q000379:methods; D004386:Duodenum / Q000601:surgery*; D046152:Gastrointestinal Stromal Tumors / Q000601:surgery*; D006801:Humans; D008297:Male; D008875:Middle Aged