Abstract
Duodeno-duodenal intussusception (DDI) is very rarely encountered. A 40-yr old gentleman presented acute abdominal pain and recurrent episodes of bilious vomiting since 5 days. Serum amylase and serum lipase were raised. Upper gastrointestinal endoscopy revealed obstruction in the second part of duodenum with bile stasis and scope not negotiable. Abdominal contrast enhanced computed tomography (CECT) shows 4 × 3 × 3 cm heterogeneously enhancing complex soft tissue mass lesion in proximal duodenum. Exploratory laparotomy was planned. There was duodeno-duodenal intussusception with sessile polyp in posterior wall of second part of duodenum. Pancreatoduodenectomy with feeding jejunostomy was done. Histopathology report suggested moderately differentiated adenocarcinomas.
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