PMC3290028_01
Endoscopic picture of the duodenum performed with an Olympus N180 video endoscope. The mucosa displayed only mild duodenitis with intestinal lymphangiectasia.
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F1
The gastroduodenoscopy revealed only mild gastroduodenitis with lymphangiectasia of the duodenum (fig. 1).
Upper gastrointestinal series demonstrates complete duodenal stenosis by a sharply demarcated mass (arrow).
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F2
Abdominal ultrasound showed a solid abdominal mass and gastrointestinal series demonstrated a radiopaque material stop in the second part of the duodenum (fig. 2).
Coronal MRI of the duodenal wall haematoma. The haematoma is clearly shown as a hypointense lesion in contrast-enhanced T1 Flash 2D (short arrows) (a) and moderately hypointense in STIR (b). Note the compression of the original duodenal lumen to Treitz ligament (long arrows).
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F3
MRI confirmed the presence of a 7-cm-long asymmetrical mass with a maximum diameter of 28 mm located within the second and third duodenal portions consistent with an intramural haematoma (fig. 3).