Surgical treatment of duodenal adenocarcinoma in 2 cases

D. Erguibi1*, A. Nouri1, R. Boufettal1, S.R. Jai 1And F. Chehab1. H. Tabakh2, N. Touil2, O.
Kacimi2, N. Chikhaoui2
Page No. 32-37

The adenocarcinoma of the duodenum is a rare malignant tumor, its diagnosis is often delayed due
to clinical latency. The diagnosis is based on endoscopy and the anatomatomopathological study,
while ultrasound and computed tomography allow the assessment of extension. The treatment is
essentially surgical.We report a retrospective study of two cases of adenocarcinoma of the
duodenum hospitalized in the department of general surgery (wing3) of CHU IBNO ROCHD
CASABLANCA during a period from 2007 to 2013 in order to determine the epidemiological,
diagnostic, therapeutic and evolutionary profile of the " adenocarcinoma of the duodenum.The age
of our patients is 37 years and 61 years, both patients were male. Clinical symptomatology is
nonspecific, dominated by high digestive stenosis. Oesogastroduodenal fibroscopy with biopsy
confirmed the diagnosis. One of our patients has benefited from a cephalic duodenopancreatectomy
and the other from a gastro-jejunal derivation. The evolution is marked by the improvement of the
general condition of the 1st and the death of the 2nd after a decline of 14 months. The prognosis of
this disease is related to the extent of the tumor and the type of treatment. Improved survival is
dependent on early diagnosis and radical surgery.
Keywords: duodenal adenocarcinoma, Cephalic duodenopancreactectomy, Prognosis.