DOI: 10.14309/crj.0000000000002317 ISSN: 2326-3253
Adenocarcinoma of the Duodenojejunal Flexure in a Patient With Intestinal Nonrotation
Ankuriti Singla, Arshia Bhardwaj, Arshdeep Singh, Kamini Gupta, Akriti Jindal, Puneet Bhutani, Satpal Singh Virk, Vandana Midha, Ajit SoodABSTRACT
Small bowel adenocarcinoma involving the duodenojejunal (DJ) flexure is rare, and its coexistence with intestinal nonrotation is exceptionally uncommon. A 53-year-old man presented with postprandial fullness, recurrent vomiting, and weight loss. Imaging revealed intestinal nonrotation and a malignant lesion involving the fourth part of the duodenum and DJ flexure. Histopathology confirmed moderately differentiated adenocarcinoma. The patient underwent segmental resection with R0 margins and had an uneventful recovery.