title: Adenocarcinoma of the third and fourth portion of the duodenum: a case report and review of the literature.
abstract: A 65-year-old woman presented with abdominal pain, weight loss, fatigue, and microcytic anemia. Esophagogastroduodenoscopy, until the second part of duodenum, was normal. Ultrasound and computed tomography demonstrated a solid mass in the distal duodenum. A repeat endoscopy confirmed an ulcerative, intraluminar mass in the third and fourth part of the duodenum. Segmental resection of the third and fourth portion of the duodenum was performed. Histology revealed an adenocarcinoma. On the 4th postoperative day, the patient developed severe acute pancreatitis leading to multiple organ failure and died on the 30th postoperative day.
authors.affiliation: 1st Department of Propaedeutic Surgery, Hippokrateion Hospital, Athens Medical, School, University of Athens, Q, Sofias 114 av,, 11527, Athens, Greece. markogiannakis@yahoo.com.
authors.forename: Haridimos
authors.initials: H
authors.lastname: Markogiannakis
authors.forename: Dimitrios
authors.initials: D
authors.lastname: Theodorou
authors.forename: Konstantinos G
authors.initials: KG
authors.lastname: Toutouzas
authors.forename: Georgia
authors.initials: G
authors.lastname: Gloustianou
authors.forename: Stilianos
authors.initials: S
authors.lastname: Katsaragakis
authors.forename: Ioannis
authors.initials: I
authors.lastname: Bramis