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Adenocarcinoma of the fourth portion of duodenum presenting as intussusception: an unusual manifestation of rare pathology
  1. Vaibhav Kumar Varshney1,
  2. Bharti Varshney2,
  3. Sudeep Khera2 and
  4. Binit Sureka3
  1. 1Surgical Gastroenterology, All India Institute of Medical Sciences, Jodhpur, Rajasthan, India
  2. 2Pathology, All India Institute of Medical Sciences, Jodhpur, Rajasthan, India
  3. 3Department of Diagnostic & Interventional Radiology, All India Institute of Medical Sciences, Jodhpur, India
  1. Correspondence to Dr Vaibhav Kumar Varshney; drvarshney09{at}


Primary adenocarcinoma of the fourth portion of the duodenum (D-IV) is reported infrequently than other parts of the duodenum. Its diagnosis is often late because of non-specific symptoms and signs. We encountered a 48-year-old male patient who was diagnosed as duodeno-duodenal intussusception, underwent segmental duodenal resection with duodenojejunal anastomosis and confirmed as adenocarcinoma of D-IV. He received adjuvant chemotherapy and is doing well at 1 year of follow-up. This report describes about the rare case of isolated adenocarcinoma of the D-IV presented as intussusception which is never reported before and successfully treated by segmental resection of the duodenum and jejunum.

  • gastrointestinal system
  • stomach and duodenum
  • small intestine cancer
  • pathology
  • radiology

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  • Contributors VKV was involved as the treating surgeon and management of the patient. BV, SK and BS were involved in the diagnosis of disease. VKV, BV and BS were involved in writing the initial draft of the manuscript. All authors contributed to refine the study and approved the final manuscript.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Provenance and peer review Not commissioned; externally peer reviewed.