title: Non-familial double malignancy of the colon and ampulla of Vater: a case report and review of literature.
abstract: Apart from their association in familial and hereditary cancer syndromes, sporadic double malignancies of the gastrointestinal tract involving the ampulla of Vater and colon are extremely rare. Although synchronous resection of the two by adding a colectomy to a pancreaticoduodenctomy can be accomplished with minimal increase in the surgical morbidity, a few patients, however, are best managed by a staged resection. We report a case of sporadic double malignancy of the ampulla of Vater and right colon who despite the best attempts continued to bleed and remained malnourished and was successfully managed by staged right hemicolectomy followed by a pancreaticoduodenectomy.
authors.affiliation: Department of Gastrointestinal Surgery and Pathology, G B Pant Hospital and Maulana Azad Medical College, New Delhi, India.
authors.forename: Rajesh
authors.initials: R
authors.lastname: Rajalingam
authors.forename: Amit
authors.initials: A
authors.lastname: Javed
authors.forename: Ranjana
authors.initials: R
authors.lastname: Gondal
authors.forename: Asit
authors.initials: A
authors.lastname: Arora
authors.forename: Hirdaya H
authors.initials: HH
authors.lastname: Nag
authors.forename: Anil K
authors.initials: AK
authors.lastname: Agarwal
mesh_terms: D000230:Adenocarcinoma / Q000601:surgery*; D000368:Aged; D014670:Ampulla of Vater; D002430:Cecal Neoplasms / Q000473:pathology; D003082:Colectomy; D003110:Colonic Neoplasms / Q000601:surgery*; D003138:Common Bile Duct Neoplasms / Q000601:surgery*; D006801:Humans; D008297:Male; D009378:Neoplasms, Multiple Primary / Q000601:surgery*; D016577:Pancreaticoduodenectomy; D010288:Parenteral Nutrition