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Case of the Month

September 2011

Patient Data: 57 year old male

Clinical Info: weight loss and vomiting


39474-Afbeelding1.jpg
Transverse image of the upper abdomen shows a normal pancreatic body and part of the tail with a mass next to and impressing or invading the pancreatic head


39475-Afbeelding2.jpg
Transverse image of the upper abdomen shows a normal pancreatic body with a mass next to and impressing or invading the pancreatic head There is air within the mass


41124-1614880_20110415__0072.swf videoclip


39476-Afbeelding3.jpg
Longitudinal image of the gallbladder. There is a close relation between the gallbladder and the mass


39477-Afbeelding4.jpg
Longitudinal image of the upper abdomen. There is a semicircular mass with air and in close relation to the gallbladder


39478-Afbeelding5.jpg
Image of the upper abdomen showing the close relation between the gallbladder and the semicircular air filled mass


39479-Afbeelding6.jpg
The mass is highly vascularized


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CT image of the normal pancreas


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CT image of the mass in the upper abdomen


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CT image shows air and contrast in the tumor mass


41125-duodenum.swf CT

The only structure between the gallbladder and the pancreas is the duodenum. The air within the mass is suggestive for a part of the digestive tract. Endoscopy showed a large ulcerating duodenal mass that biopsy proved to be an adenocarcinoma of the duodenum. The CT scan and US showed no distant metastases.
The patient was referred to an oncological center to see if surgical removal (Whipple procedure)is still an option

For more tumors of the duodenum see

Copyright © Dr. T.S.A. Geertsma, Ziekenhuis Gelderse Vallei, Ede, The Netherlands. All rights reserved.

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