PMC7226638_01
Endoscopic view of the duodenal ulcer (arrow).
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PMC7226638_01_gr1.jpg
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For the current admission, urgent upper endoscopy revealed a 1 cm irregular ulcer at posterior wall of first part of duodenum with adherent clot (Fig. 1).
Computed tomography showing the tumour (arrow) invade to duodenum.
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PMC7226638_01_gr2.jpg
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It revealed a 2.4 cm recurrent hypervascular tumour at inferior part of right liver with local invasion to duodenum (Fig. 2).
Operative view showing the tumour invading the posterior wall of duodenum forming an ulcer (arrow) after the duodenum was opened.
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Wedge resection of the tumour together with a cuff of involved duodenum was performed (Fig. 3).
The resected specimen with cuff of duodenal wall.
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PMC7226638_01_gr4.jpg
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Pathology confirmed a 3.5 cm moderately differentiated HCC with invasion to duodenal wall associated with duodenal ulcer (Fig. 4).