Case Reports
doi: 10.25005/2074-0581-2021-23-1-124-129
SIMULTANEOUS SURGICAL TREATMENT OF STOMACH CANCER AND JEJUNAL DIVERTICULOSIS

R.Z. Yuldoshev1, А.А. Khodzhamkulov2, D.Sh. Nuraliev1, A.Sh. Abdulloev3

1Department of Oncology and Radiodiagnostics, Avicenna Tajik State Medical University, Dushanbe, Republic of Tajikistan
2Republican Scientific Oncology Center, Dushanbe, Republic of Tajikistan
3National Medical Center «Shifobakhsh», Dushanbe, Republic of Tajikistan

The article presents a case of a combination of stomach cancer and jejunal diverticulosis in a 71-year-old female patient. Stomach cancer was diagnosed preoperatively both clinically and by instrumental (endoscopic and radiological) and pathomorphological methods. During the surgery, jejunal diverticulosis was accidentally revealed. Considering the stomach cancer resectability and the presence of diffuse intestinal diverticulosis, resection of the proximal jejunum, distal subtotal gastrectomy, Roux-en-Y gastroenteroanastomosis, and D2 lymphadenectomy were performed. The immediate postoperative period was complicated by perforation of the anterior wall of the resected stomach, and defect was urgently sutured. Control X-ray examination showed that both the stomach and gastroenteroanastomosis were normal, the passage of contrast through the jejunum was satisfactory. The patient was discharged home on the 12th day in satisfactory condition.

Keywords: Stomach cancer, jejunal diverticulosis, surgical treatment, simultaneous operation.

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Authors' information:

Yuldoshev Ravshan Zokhidovich
Doctor of Medical Sciences, Head of the Department of Oncology and Radiodiagnostics, Avicenna Tajik State Medical University
SPIN: 8918-1796
Author ID: 1099494
E-mail: uravshan@mail.ru

Khodzhamkulov Ashurali Akramovich
Head of Thoracic-Abdominal Department, Republican Scientific Oncology Center
E-mail: ashur_90-90@mail.ru

Nuraliev Dilovar Shokhimardonovich
Postgraduate Student, Department of Oncology and Radiodiagnostics, Avicenna Tajik State Medical University
E-mail: 89156238500@gmail.com

Abdulloev Akbar Shukuroviich
Candidate of Medical Sciences, Endoscopist, National Medical Center «Shifobakhsh»
E-mail: abdulloev1972@inbox.ru

Information about support in the form of grants, equipment, medications

The authors did not receive financial support from manufacturers of medicines and medical equipment

Conflicts of interest: No conflict

Address for correspondence:

Yuldoshev Ravshan Zokhidovich
Doctor of Medical Sciences, Head of the Department of Oncology and Radiodiagnostics, Avicenna Tajik State Medical University

734003, Republic of Tajikistan, Dushanbe, Rudaki Ave., 139

Tel.: +992 (918) 679399

E-mail: uravshan@mail.ru

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