Small bowel adenocarcinoma involving the duodenojejunal (DJ) flexure is rare, and its coexistence with intestinal nonrotation is exceptionally uncommon. A 53-year-old man presented with postprandial fullness, recurrent vomiting, and weight loss. Imaging revealed intestinal nonrotation and a malignant lesion involving the fourth part of the duodenum and DJ flexure. Histopathology confirmed moderately differentiated adenocarcinoma. The patient underwent segmental resection with R0 margins and had an uneventful recovery.
No takes yet. Share an insight, caveat, or question.
Singla et al. (2026) studied this question.
Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context: