{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,19]],"date-time":"2026-09-19T00:02:09Z","timestamp":1789776129364,"version":"4.0.1"},"reference-count":16,"publisher":"Walter de Gruyter GmbH","issue":"1","license":[{"start":{"date-parts":[[2025,1,1]],"date-time":"2025-01-01T00:00:00Z","timestamp":1735689600000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/3.0"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2025,1,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Duodenojejunal intussusception (DJI) is an uncommon clinical entity in adults, most often secondary to an underlying structural lesion. Its nonspecific gastrointestinal symptoms and rarity frequently delay diagnosis and complicate management.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Case Description<\/jats:title>\n                    <jats:p>We present the case of a 30-year-old woman with an 18-month history of right hypochondrial pain, intermittent non-bilious vomiting, and significant weight loss. Imaging and endoscopic biopsy revealed duodenojejunal intussusception secondary to a large periampullary tubulovillous adenoma. Although a transduodenal ampullectomy was initially planned, the procedure was converted to a pancreaticoduodenectomy due to the lesion\u2019s size and morphology. The postoperative course was uneventful, and the patient has remained asymptomatic and in good health for more than fifteen months after surgery.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Practical Implications<\/jats:title>\n                    <jats:p>DJI secondary to periampullary adenoma is rare but clinically significant. While endoscopic or limited surgical resection may be appropriate in select cases, pancreaticoduodenectomy offers a definitive treatment option when ampullectomy is not feasible.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.2478\/jcas-2025-0010","type":"journal-article","created":{"date-parts":[[2026,9,18]],"date-time":"2026-09-18T23:13:24Z","timestamp":1789773204000},"page":"63-66","source":"Crossref","is-referenced-by-count":0,"title":["Periampullary adenoma leading to duodenojejunal intussusception in a young woman: A case report"],"prefix":"10.2478","volume":"11","author":[{"given":"Abu Bakar","family":"Bhatti","sequence":"first","affiliation":[{"name":"Shifa College of Medicine , Islamabad , Pubjab Pakistan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Usman Shafique","family":"Khokhar","sequence":"additional","affiliation":[{"name":"FCPS general surgery, FCPS Liver Transplant , Shifa International Hospital|Shifaa Hospital| Shifa International Hospital|Shifaa Hospital"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hajira","family":"Ghairat","sequence":"additional","affiliation":[{"name":"FCPS Gastroenterlogy, Department of Gastroenterology & Hepatology , shifa international hospital Islamaad|Shifaa Hospital| shifa international hospital Islamaad|Shifaa Hospital"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"374","published-online":{"date-parts":[[2026,3,12]]},"reference":[{"key":"2026091823131545724_j_jcas-2025-0010_ref_001","doi-asserted-by":"crossref","unstructured":"Matsuura H, Saito A, Amano Y, Morishima K, Sasanuma H, Lefor AK, Sata N. Intussusception of the third portion of the duodenum secondary to a primary duodenal malignancy: a case report. Int J Surg Case Rep. 2022;94:107085. doi:10.1016\/j.ijscr.2022.107085","DOI":"10.1016\/j.ijscr.2022.107085"},{"key":"2026091823131545724_j_jcas-2025-0010_ref_002","doi-asserted-by":"crossref","unstructured":"Brahmbhatt RA, Patel DG, Chaudhary PB. Duodenoduodenal intussusception: two case reports with different lead points. Int Surg J. 2024;11:1194\u2013200.","DOI":"10.18203\/2349-2902.isj20241754"},{"key":"2026091823131545724_j_jcas-2025-0010_ref_003","doi-asserted-by":"crossref","unstructured":"Chawla S, Charan A, Joshi A, Sihag DV. Duodenal intussusception due to periampullary duodenal adenoma: a case report. Case Rep Clin Radiol. 2022. doi:10.25259\/CRCR_51_2022","DOI":"10.25259\/CRCR_51_2022"},{"key":"2026091823131545724_j_jcas-2025-0010_ref_004","doi-asserted-by":"crossref","unstructured":"Alzerwi NA. Duodenoduodenal and duodenojejunal intussusceptions in adults: a systematic review with a focus on demographics, diagnosis, and etiology. AIMS Med Sci. 2020;7(3):204\u201322. doi:10.3934\/medsci.2020012","DOI":"10.3934\/medsci.2020012"},{"key":"2026091823131545724_j_jcas-2025-0010_ref_005","doi-asserted-by":"crossref","unstructured":"Wang KP, Jiang H, Kong C, Wang LZ, Wang GY, Mo JG, Jin C. Adult duodenal intussusception with horizontal adenoma: a rare case report. World J Clin Cases. 2020;8(15):3314\u20139. doi:10.12998\/wjcc.v8.i15.3314","DOI":"10.12998\/wjcc.v8.i15.3314"},{"key":"2026091823131545724_j_jcas-2025-0010_ref_006","doi-asserted-by":"crossref","unstructured":"Panzera F, Di Venere B, Rizzi M, Biscaglia A, Pratic\u00f2 CA, Nasti G, Mardighian A, Nunes TF, Inchingolo R. Bowel intussusception in adults: prevalence, diagnostic tools and therapy. World J Methodol. 2021;11(3):81\u20137. doi:10.5662\/wjm.v11.i3.81","DOI":"10.5662\/wjm.v11.i3.81"},{"key":"2026091823131545724_j_jcas-2025-0010_ref_007","doi-asserted-by":"crossref","unstructured":"Hirata M, Shirakata Y, Yamanaka K. Duodenal intussusception secondary to ampullary adenoma: a case report. World J Clin Cases. 2019;7(14):1857\u201364. doi:10.12998\/wjcc.v7.i14.1857","DOI":"10.12998\/wjcc.v7.i14.1857"},{"key":"2026091823131545724_j_jcas-2025-0010_ref_008","doi-asserted-by":"crossref","unstructured":"Nojima H, Shimizu H, Hirota M, Murakami T, Yamazaki M, Yamazaki K, Shuto K, Kosugi C, Mori M, Usui A, Sazuka T, Koda K. An ampullary adenoma presenting with jaundice caused by duodenal intussusception: a case report. Surg Case Rep. 2024;10(1):25. doi:10.1186\/s40792-024-01822-z","DOI":"10.1186\/s40792-024-01822-z"},{"key":"2026091823131545724_j_jcas-2025-0010_ref_009","doi-asserted-by":"crossref","unstructured":"Loo GH, Mohamad Abu Zeid WM, Lim SL, Ismail AM. Rare presentation of idiopathic duodenoduodenal intussusception. Ann R Coll Surg Engl. 2017;99(6):e188\u201390. doi:10.1308\/rcsann.2017.0104","DOI":"10.1308\/rcsann.2017.0104"},{"key":"2026091823131545724_j_jcas-2025-0010_ref_010","doi-asserted-by":"crossref","unstructured":"Kaw P, Malage S, Singh A, R R, Gosh NK, Sharma S, et al. Challenges in managing duodenal intussusception: a rare cause of gastric outlet obstruction in adults. Turk J Surg. 2024;40(2):168\u201373.","DOI":"10.47717\/turkjsurg.2024.6411"},{"key":"2026091823131545724_j_jcas-2025-0010_ref_011","doi-asserted-by":"crossref","unstructured":"Lai JH, Shyr YM, Wang SE. Ampullectomy versus pancreaticoduodenectomy for ampullary tumors. J Chin Med Assoc. 2015;78(6):339\u201344. doi:10.1016\/j.jcma.2015.02.002","DOI":"10.1016\/j.jcma.2015.02.002"},{"key":"2026091823131545724_j_jcas-2025-0010_ref_012","doi-asserted-by":"crossref","unstructured":"De Castro SM, van Heek NT, Kuhlmann KF, Busch OR, Offerhaus GJ, van Gulik TM, Obertop H, Gouma DJ. Surgical management of neoplasms of the ampulla of Vater: local resection or pancreatoduodenectomy and prognostic factors for survival. Surgery. 2004;136(5):994\u20131002. doi:10.1016\/j.surg.2004.03.010","DOI":"10.1016\/j.surg.2004.03.010"},{"key":"2026091823131545724_j_jcas-2025-0010_ref_013","doi-asserted-by":"crossref","unstructured":"Bhatti ABH, Jafri RZ, Sahaab E, Dar FS, Zia HH, Khan NY. Long-term outcomes after pancreaticoduodenectomy: a single-center experience from Pakistan. J Pak Med Assoc. 2021;71(7):1838\u201342. doi:10.47391\/JPMA.501","DOI":"10.47391\/JPMA.501"},{"key":"2026091823131545724_j_jcas-2025-0010_ref_014","doi-asserted-by":"crossref","unstructured":"Huda T, Sutrave T, Pandya B. Tubulovillous adenomas of the duodenum. Int J Surg Med. 2020. doi:10.5455\/ijsm.tubullovinous-adenomas","DOI":"10.5455\/ijsm.tubullovinous-adenomas"},{"key":"2026091823131545724_j_jcas-2025-0010_ref_015","unstructured":"Neogi P, Misra A, Agrawal R. Duodenal adenoma presenting as duodenojejunal intussusception. Acta Biomed. 2008;79(2):137\u20139. PMID: 18788510"},{"key":"2026091823131545724_j_jcas-2025-0010_ref_016","doi-asserted-by":"crossref","unstructured":"Mangal AK, Massey A, Patel P. A rare case of duodenojejunal intussusception due to tubulovillous adenoma. Saudi Surg J. 2015;3:85\u20137.","DOI":"10.4103\/2320-3846.178681"}],"container-title":["Journal of Cancer and Allied Specialties"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/reference-global.com\/pdf\/10.2478\/jcas-2025-0010","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,9,18]],"date-time":"2026-09-18T23:13:28Z","timestamp":1789773208000},"score":1,"resource":{"primary":{"URL":"https:\/\/reference-global.com\/article\/10.2478\/jcas-2025-0010"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,1,1]]},"references-count":16,"journal-issue":{"issue":"1","published-online":{"date-parts":[[2026,3,12]]},"published-print":{"date-parts":[[2025,1,1]]}},"alternative-id":["10.2478\/jcas-2025-0010"],"URL":"https:\/\/doi.org\/10.2478\/jcas-2025-0010","relation":{},"ISSN":["2411-989X"],"issn-type":[{"value":"2411-989X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,1,1]]}}}