Obstructive Duodenal Tumour in a 76 year Old Patient
Clinical History
A 76-year old man presented with epigastric pain and haematemesis.
Case Description
The patient was referred to have an abdominal ultrasound which reveals a large heterogeneous mass in the duodenum (duodenal tumour). There was also intrahepatic biliary dilatation and raised portal vein flow velocity, all secondary to the obstructive nature of the duodenal mass.
Diagnosis/ Discussion/ Treatment/ Follow Up
The patient also had Oesophagoduodenoscopy (OGD) which revealed the mass to be causing a gastric outflow obstruction.
The patient also has a CT scan of the chest abdomen and pelvis (with contrast) which revealed the obstructive mass (duodenal tumour) to be at D2/3 with an abnormal D3 and an abrupt calibre of D4.
The patient was referred to the Upper GI specialists for further management.