Malignant Gastric Outlet Obstruction from Pancreatic Cancer

Patients with advanced-stage pancreatic cancer are typically burdened by many symptoms that impair functioning and worsen quality of life. We report an exceptional case of a 73-year-old woman with T4N1M0 adenocarcinoma of the uncinate process of the pancreas who developed significant gastric outlet...

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Bibliographic Details
Published inCase reports in gastroenterology Vol. 11; no. 3; pp. 511 - 515
Main Authors McGrath, Clare, Tsang, Adrian, Nithianandan, Harrish , Nguyen, Eric, Bauer, Patrick, Dennis, Kristopher
Format Journal Article
LanguageEnglish
Published Basel, Switzerland S. Karger AG 06.09.2017
Karger Publishers
Subjects
Abdomen
Anorexia
Cancer therapies
Case reports
Duodenum
Endoscopy
Gastric outlet obstruction
Malnutrition
Mesentery
Obstruction
Pain
Pancreatic cancer
Patients
Quality of life
Radiation therapy
Single Case
Stomach
Vomiting
Canada
Ottawa Ontario Canada
Stomach
Duodenum
Gastric outlet obstruction
Obstruction
Pancreatic cancer
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Summary:Patients with advanced-stage pancreatic cancer are typically burdened by many symptoms that impair functioning and worsen quality of life. We report an exceptional case of a 73-year-old woman with T4N1M0 adenocarcinoma of the uncinate process of the pancreas who developed significant gastric outlet obstruction – an uncommon yet potentially life-threatening complication of disease progression. She developed progressive abdominal pain and emesis, and profound dilatation of her stomach was detected on a radiation therapy simulation CT scan that required urgent decompression. Malignant gastric outlet obstruction must be included in the differential diagnosis when patients with known advanced disease of the pancreas present with obstructive upper gastrointestinal symptoms.
ISSN:1662-0631
1662-0631
DOI:10.1159/000480070