Duodenal Tumour Obstructive Duodenal Tumour in a 76 year Old Patient Estimated reading: 2 minutes 249 views Contributors 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. Sonograms Sonogram of the abdomen at the level of the epigastrium, showing the duodenal mass Sonogram at the level of the epigastrium showing the long segment of the duodenal mass Power Doppler imaging of the duodenal mass. No internal vascularity seen. However, there is evidence of peripheral vascularity Sonogram of the pancreas (P) with the duodenal mass (M) seen adjacent and medial to the pancreatic head Right hepatic lobe showing evidence of intrahepatic biliary dilatation secondary to the obstructive duodenal mass Patent portal vein with a slightly elevated velocity measurement of 44.6 cm/s due to the duodenal mass-effect on the proxima portal vein Dilated common bile duct (CBD) secondary to the obstructive duodenal mass Obstructive Duodenal Tumour in a 76 year Old Patient - PreviousDuodenal TumourNext - Obstructive Duodenal Tumour in a 76 year Old PatientOthers Published on: September 2, 2024
