
Figure 1.
(A) xial CT view demonstrating target sign for intussusception (B) Coronal view with common bile duct traversing the midline (white arrow) towards the left hypochondrium with intussuscepted adenoma (asterisk).

Figure 2.
Intra-operative picture of cauliflower shaped large adenoma after duodenotomy.
Table 1.
Summary of published cases reports on DJI.
| Authors | Age/Gender | Chief complaints | Treatment |
|---|---|---|---|
| Chawla et al. [3] | 34/F | vomiting | Segmental duodenal resection preserving the ampulla |
| Hirata et al. [7] | 66/F | whole-body edema and malaise | Pylorus preserving Pancreaticoduodenectomy |
| Kaw et al. [10] | 41/M | abdominal pain | Duodenectomy with polypectomy |
| Huda et al. [14] | 25/F | vomiting and weight loss | Segmental resection and end to end anastomosis |
| Neogi et al. [15] | 37/F | abdominal pain,vomiting | Segmental resection and end to end anastomosis |
| Mangal et al. [16] | 31/F | abdominal pain | Duodenectomy with polypectomy |