胸腔内穿孔にて発症した十二指腸重複腸管癌の１例

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  • A CASE OF PERFORATED DUODENAL DUPLICATION WITH CANCER IN THE PLEURAL CAVITY

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A 34-year-old woman was admitted to our hospital by ambulance because of sudden onset of right chest pain. The chest computed tomography revealed a mass shadow on the right side of the mediastinum, and fluid and air in the right pleural cavity. Her X-ray film taken 2 years ago in our hospital revealed a mass shadow with an air-fluid level in the right lower chest.<br> With a diagnosis of perforation of the incarcerated diaphragmatic hernia, the patient underwent thoracoabdominal exploration. During surgery, the tubular duplicated bowel arising from the second portion of the duodenum extended through the diaphragm into the right chest. The tubular duplicated bowel in the right chest was cancerous and perforated. The duplicated bowel was excised, with drainage from the right pleural cavity.<br> A tubular duodenal duplication extending through the diaphragm into the chest is very rare. To the best of our knowledge, there has been no case of malignant change in tubular duodenal duplication reported in the literature to date.

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