An unusual cause of intractable vomiting after cisplatin chemotherapy

A 59-year-old woman with advanced cervical carcinoma presented to us with intractable vomiting, 8 weeks after receiving cisplatin chemotherapy. Upper gastrointestinal endoscopy revealed mild duodenitis and an obstructive adhesion in the distal duodenum (Figure [1]) The adhesion was disrupted by the passage of the endoscope and the patient’s symptoms promptly resolved.

Figure 1 Endoscopic views of the obstructive duodenal adhesion at the distal end of the descending part of the duodenum that had formed secondary to duodenitis.

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