Papillary carcinoma of the duodenum combined with right renal carcinoma: a case report

We report a case of papillary carcinoma of the duodenum combined with right renal carcinoma. A 58-year-old man underwent a physical examination that revealed intrahepatic and extrahepatic bile duct dilatation on B ultrasound. Intrahepatic bile duct dilatation could be seen on magnetic resonance imag...

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Bibliographic Details
Published in:World journal of surgical oncology 2013-02, Vol.11 (1), p.30-30, Article 30
Main Authors: Zhang, Xuan, Zhou, Zhen-hong, Cai, Shou-wang, Dong, Jia-hong
Format: Article
Language:English
Subjects:
Abdomen
Bile
Carcinoma, Papillary - pathology
Carcinoma, Papillary - surgery
Carcinoma, Renal Cell - pathology
Carcinoma, Renal Cell - surgery
Case Report
Common Bile Duct Neoplasms - pathology
Common Bile Duct Neoplasms - surgery
Duodenal Neoplasms - pathology
Duodenal Neoplasms - surgery
Duodenum
Humans
Jejunal fistulization
Kidney Neoplasms - pathology
Kidney Neoplasms - surgery
Magnetic Resonance Imaging
Male
Middle Aged
Neoplasm Staging
Neoplasms, Multiple Primary - pathology
Neoplasms, Multiple Primary - surgery
Pancreas
Pancreaticoduodenectomy
Papillary carcinoma
Prognosis
Renal carcinoma
Renal resection
Tomography, X-Ray Computed
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Summary:We report a case of papillary carcinoma of the duodenum combined with right renal carcinoma. A 58-year-old man underwent a physical examination that revealed intrahepatic and extrahepatic bile duct dilatation on B ultrasound. Intrahepatic bile duct dilatation could be seen on magnetic resonance imaging (MRI), but the head of the pancreas and distal bile duct showed no tumor signals, which led to a diagnosis of periampullary carcinoma and right renal carcinoma. Considering the trauma of pancreaticoduodenectomy combined with renal resection operation is greater, we carried out the laparoscopic right renal radical resection first, and then a pylorus-preserving pancreaticoduodenectomy was performed. However, postoperative intra-abdominal infections and bleeding occurred; our patient improved after vascular interventional microcoil embolization for the treatment of hemostasis. The second operation for celiac necrotic tissue elimination, jejunal fistulization and peritoneal lavage and drainage was performed 14 days latter. Our patient improved gradually and was discharged on the 58th postoperative day. There has been no tumor recurrence after a follow-up of 26 months.
ISSN:1477-7819
1477-7819
DOI:10.1186/1477-7819-11-30