Open AccessNon-familial double malignancy of the colon and ampulla of vater: A case report and review of literature
Author(s) -
Rajesh Rajalingam,
Amit Javed,
Ranjana Gondal,
Asit Arora,
Hirdaya Hulas Nag,
Anil Agarwal
Publication year - 2012
Publication title -
the saudi journal of gastroenterology/saudi journal of gastroenterology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.608
H-Index - 32
eISSN - 1998-4049
pISSN - 1319-3767
DOI - 10.4103/1319-3767.93823
Subject(s) - ampulla of vater , medicine , malignancy , pancreaticoduodenectomy , bleed , right hemicolectomy , ampulla , surgery , gastrointestinal tract , colon resection , colorectal cancer , gastroenterology , colectomy , resection , general surgery , cancer , carcinoma
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.