{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,5,13]],"date-time":"2025-05-13T15:21:47Z","timestamp":1747149707767,"version":"3.40.5"},"reference-count":11,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2021,12,8]],"date-time":"2021-12-08T00:00:00Z","timestamp":1638921600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["JGH Open"],"published-print":{"date-parts":[[2022,1]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>Choledochocele is a rare subtype of choledochal cyst and is associated with increased prevalence of periampullary cancers. Here, we report an unusual manifestation of infiltrative duodenal cancer arising from a choledochocele, involving superficial spreading (muscularis mucosae) of cancer cells along the duodenum causing gastric outlet obstruction, which clinically mimicked superior mesenteric artery syndrome. Histologically, wide spread of cancer cells was confirmed from periampullary region to duodenojejunal junction showing mismatch with radiologic findings, in which the cancer segment was mainly located in the distal duodenum. Clinical, radiologic, and pathologic findings are discussed with literature reviews.<\/jats:p>","DOI":"10.1002\/jgh3.12695","type":"journal-article","created":{"date-parts":[[2021,12,8]],"date-time":"2021-12-08T09:41:06Z","timestamp":1638956466000},"page":"91-93","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Unusual cause of gastric outlet obstruction mimicking superior mesenteric artery syndrome: A case of infiltrative duodenal cancer arising from a choledochocele"],"prefix":"10.1002","volume":"6","author":[{"given":"Min Jae","family":"Jang","sequence":"first","affiliation":[{"name":"Department of Radiology Kyung Hee University Hospital  Seoul Republic of Korea"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hyun Gun","family":"Kim","sequence":"additional","affiliation":[{"name":"Department of Radiology Kyung Hee University Hospital  Seoul Republic of Korea"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Chi Hyuk","family":"Oh","sequence":"additional","affiliation":[{"name":"Department of Internal Medicine Kyung Hee University Hospital  Seoul Republic of Korea"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"So\u2010Woon","family":"Kim","sequence":"additional","affiliation":[{"name":"Department of Pathology Kyung Hee University Hospital  Seoul Republic of Korea"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6262-5784","authenticated-orcid":false,"given":"Myung\u2010Won","family":"You","sequence":"additional","affiliation":[{"name":"Department of Radiology Kyung Hee University Hospital  Seoul Republic of Korea"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2021,12,8]]},"reference":[{"key":"e_1_2_4_2_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00268-014-2831-5"},{"key":"e_1_2_4_3_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00423-008-0336-0"},{"key":"e_1_2_4_4_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00535-005-1554-7"},{"key":"e_1_2_4_5_1","doi-asserted-by":"publisher","DOI":"10.1055\/s-0037-1615275"},{"key":"e_1_2_4_6_1","doi-asserted-by":"publisher","DOI":"10.1001\/archsurg.2011.243"},{"key":"e_1_2_4_7_1","first-page":"61","article-title":"Carcinoma related to choledochal cysts with internal drainage operations","volume":"164","author":"Todani T","year":"1987","journal-title":"Surg. 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