Open AccessLarge Tubullo-villous Adenoma of Duodenum Presenting as Gastric Outlet Obstruction
Author(s) -
Utpal Anand,
Manish Pandey,
Rajeev Nayan Priyadarshi,
Rajeev Kumar,
Binita Chaudhary
Publication year - 2015
Publication title -
journal of clinical and diagnostic research
Language(s) - English
Resource type - Journals
eISSN - 2249-782X
pISSN - 0973-709X
DOI - 10.7860/jcdr/2015/14759.6946
Subject(s) - medicine , villous adenoma , duodenum , malignancy , surgical excision , vomiting , adenoma , radiology , endoscopy , surgery , abdominal pain
Tubullo-villous adenoma of duodenum is a rare entity. These are potentially malignant tumours and therefore, complete excision is the treatment of choice. However, at times preoperative diagnosis could not be always achieved posing difficulty in choosing the optimal surgical method of excision. We report a 40-year-old male patient presented with vague upper abdominal pain and vomiting for last 6 months. His computed tomography and endoscopy demonstrated intraluminal polypoidal mass. Endoscopic biopsies were negative for malignancy. Local surgical excision with tumour free margin was performed and histology revealed tubullo-villous adenoma.