BMJ Case Reports 2013; doi:10.1136/bcr-2012-007922

Duodenal adenocarcinoma masked by acute cholecystitis and peptic ulcer disease

  1. Manoj S Gowda1
  1. 1Department of General Surgery, S.C.B. Medical College, Cuttack, Odisha, India
  2. 2Department of Surgery, S.C.B. Medical College, Cuttack, Odisha, India
  1. Correspondence to Dr Manash Ranjan Sahoo, manash67{at}
  • Received 6 November 2012
  • Revised 29 November 2012
  • Accepted 7 December 2012
  • Published 22 January 2013


We report a case of duodenal adenocarcinoma, who presented to the emergency ward, with features of acute cholecystitis and peptic ulcer disease. Ultrasonography and upper gastrointestinal (GI) endoscopy failed to pick up duodenal pathology, previously two times. Only third time endoscopy showed circumferential thickening of first and second part of the duodenum. On diagnosis laparoscopy mass at the D1/2 junction with apparent involvement of head of pancreas was noted. Pancreatoduodenectomy was performed. Histopathological examination showed it to be primary duodenal adenocarcinoma with extension in to head of pancreas. His postoperative course was uneventful. After 4-month follow-up the patient remained well.

Register for free content

The full text of all Editor's Choice articles and summaries of every article are free without registration

The full text of Images in ... articles are free to registered users

Only fellows can access the full text of case reports (apart from Editor's Choice) - become a fellow today, or encourage your institution to, so that together we can grow and develop this resource

Don't forget to sign up for content alerts so you keep up to date with all the case reports as they are published, and let us know what you think by commenting on the Editor's blog

Navigate This Article