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Open Access Case report

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

Xuan Zhang1, Zhen-hong Zhou2, Shou-wang Cai1* and Jia-hong Dong1

Author Affiliations

1 Hospital and Institute of Hepatobiliary Surgery, Chinese PLA General Hospital, Chinese PLA Postgraduate Medical School, 28 Fu Xing Road, Beijing, 100853, People’s Republic of China

2 Department of pathology, Chinese PLA General Hospital, Chinese PLA Postgraduate Medical School, 28 Fu Xing Road, Beijing, 100853, China

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World Journal of Surgical Oncology 2013, 11:30  doi:10.1186/1477-7819-11-30

Published: 1 February 2013

Abstract

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.

Keywords:
Duodenum; Jejunal fistulization; Papillary carcinoma; Renal carcinoma; Renal resection