Saudi Journal of Gastroenterology
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CASE REPORT
Year : 2012  |  Volume : 18  |  Issue : 2  |  Page : 143-145

Non-familial double malignancy of the colon and ampulla of vater: A case report and review of literature


Department of Gastrointestinal Surgery and Pathology, G. B. Pant Hospital and Maulana Azad Medical College, New Delhi, India

Correspondence Address:
Anil K Agarwal
Department of Gastrointestinal Surgery, Room No. 223, Academic Block, 2nd Floor, G. B. Pant Hospital, New Delhi - 110 002
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/1319-3767.93823

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Apart from their association in familial and hereditary cancer syndromes, sporadic double malignancies of the gastrointestinal tract involving the ampulla of Vater and colon are extremely rare. Although synchronous resection of the two by adding a colectomy to a pancreaticoduodenctomy can be accomplished with minimal increase in the surgical morbidity, a few patients, however, are best managed by a staged resection. We report a case of sporadic double malignancy of the ampulla of Vater and right colon who despite the best attempts continued to bleed and remained malnourished and was successfully managed by staged right hemicolectomy followed by a pancreaticoduodenectomy.


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