Transduodenal EUS Staging of a Colonic Adenocarcinoma

The PET-TC scan staging of an adenocarcinoma of the right colonic flessure suspected a duodenal infiltration. Upper GI endoscopy displayed an irregular duodenal ulceration, with unrevealing biopsies. To assess the relationship between the duodenum and the surrounding organs, an EUS was planned. EUS displayed a thickened duodenal wall in continuity with an hypoechoic 6 cm lesion containing air bubbles, that was attributable to the colonic tumor. The laparoscopic exploration confirmed the firm adhesion of the colon to the duodenum; a cecostomy and a gastro-jejunostomy were created. In this interesting case an upper EUS helped us diagnose a T4b intestinal tumor.

Citation Togliani T, Pilati S. eP374V TRANSDUODENAL EUS STAGING OF A COLONIC ADENOCARCINOMA. Endoscopy 2021; 53: S218.

Publication History

Article published online:
19 March 2021