Journal of the Bahrain Medical Society

Year 2021, Volume 33, Issue 2, Pages 29-32

https://doi.org/10.26715/jbms.33_2021_2_5

Case Report

Palliative Treatment of Unresectable Pancreatic Carcinoma Presenting as Gastric Outlet Obstruction: What to Expect?

Raisa Minhas1*, Shiv Rana2

Author Affiliation

1Bahrain Oncology Center, King Hamad University Hospital, Bahrain.

2Consultant Palliative and Pain Medicine, Bahrain Oncology Center, King Hamad University Hospital, Bahrain.

*Corresponding author: Raisa Minhas, MBBS, MRCP, Bahrain Oncology center, King Hamad University Hospital, Bahrain. Email: raisaminhas09@gmail.com 

Received date: February 28, 2021; Accepted date: March 28, 2021; Published date: June 30, 2021


Abstract

Gastric outlet obstruction is a surgical emergency that presents with epigastric pain and intractable non-bilious vomiting. As per a recent literature review, theleading cause of gastric outlet obstruction is malignancy. This report presents a patient with grade two pancreatic adenocarcinoma who presented with gastric outlet obstruction symptoms: apotentially life-threatening complication of disease progression.The patient experienced severe epigastric pain and intractable projectile non-bilious vomiting.Computed Tomography confirmed the cause of severe pain and vomiting as gastric outlet obstruction. The patient was successfully managed with laparoscopic palliative gastro-jejunostomy and jejuno-jejunostomy. Here is the first case reported in the kingdom of Bahrain, where a patient with pancreatic cancer presented with symptoms of gastric outlet obstruction.The case report aimed to increaseawareness amongst health practitioners regarding the presentation of pancreatic cancer.

Keywords: Adenocarcinoma; Gastric Outlet Obstruction; Jejunostomy; Laparoscopy; Pancreatic Carcinoma

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