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KMID : 0931320120120020128
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대한상부위장관.헬리코박터학회지
2012 Volume.12 No. 2 p.128 ~ p.131
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An Unusual Case of Duodenal Obstruction due to Metastatic Cervical Cancer
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Kim Seul-Young
Jeong Hyun-Yong
Seong Jae-Kue
Jung Il-Soon
Kim Kyu-Seop
Yoon Beom-Yong
Moon Hee-Seok
Song Kyu-Sang
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Abstract
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We report a rare case of cervical cancer with duodenal obstruction accompanied by obstructive symptoms, which was treated using duodenal stenting. A 48-year-old woman was diagnosed with stage IV cervical cancer (according to the International Federation of Gynecology and Obstetrics staging system), which had invaded the vagina, the uterine body, and the external iliac and common iliac lymph nodes. Endoscopy showed an encircling mass with erythematous mucosa and luminal narrowing in the second and third portions of the duodenum, which prevented the endoscope from advancing. We placed an uncovered stent in the duodenum, which ameliorated abdominal discomfort, nausea, and vomiting, and simultaneously performed a biopsy. Endoscopic stent insertion appears to be the most effective treatment for duodenal obstruction in patients with advanced cancer.
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KEYWORD
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Duodenal obstruction, Duodenal stent
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