PMC3806701_01
CT scan of the patient with intravenous and peroral contrast. A tumor in the duodenum involving almost the entire lumen (arrow) can be seen.
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F1
A CT scan with intravenous and peroral contrast (fig. 1) revealed a tumor in the ampulla (arrow) involving the whole circumference of the duodenal lumen, but with no apparent involvement of major blood vessels or surrounding organs.
Images from the same scan as in fig. 1. Multiple nodules of different sizes can be seen in different intra-abdominal locations (A arrows). Surgical clips (B arrow) are also seen as a sign of previous abdominal surgery.
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F2
In addition, multiple nodular tumors were seen in several intra-abdominal locations, giving rise to the suspicion of peritoneal metastases (fig. 2).