CASE 369: DUODENUM TUMOR, Dr PHAN THANH HẢI, MEDIC MEDICAL CENTER, HCMC, VIETNAM

Man 60 y.o., health check-up  by ultrasound of  abdomen detected  one mass  nearby gallbladder, size around 3-4 cm.

US 1: this mass  near  gallbladder and  duodenal bulb.

US 2: no  relation to  liver hilus.

  

Endoscopy report that  lumen of duodenum D2 is compressed by external mass (see endoscopy picture).

MSCT  of abdomen with CE

CT1:  this mass is  from  duodenum D2.

CT2 :  patient in rotation  for good vision of pyloris and duodenum mass at D2.

CT3: sagittal section of this mass is CE enhanced.

Preoperative diagnosis is duodenum wall tumor which was  suggested to GIST.

Operation  resection of  tumor and  performed gastro-enterostomy.

Microscopic report of this tumor is GIST.

Reference:

Duodenal gastrointestinal stromal tumor

http://www.sciencedirect.com/science/article/pii/S1743919112007649