Carcinoma of the fourth part of the duodenum

Abstract

Primary carcinoma of the duodenum is uncommonly encountered. This is a report of a 45-year-old gentleman who was admitted to our unit with a one-month history of upper abdominal distention. Barium study revealed a narrowed segment of the fourth part of duodenum. A hard stenosing growth was found in the fourth part of duodenum, at laparotomy. He was treated by distal segmental resection and regional lymphadenectomy, that relieved his symptoms. He is asymptomatic and recurrence free at one year follow up.