PMC5094203_01
Magnetic resonance imaging of the upper abdomen (A). Visible is a 2 x 1,5 cm sized mass in the duodenum (marked by white dashed arrow). Distant metastasis and lymphadenopathy are not visible. The magnetic resonance cholangiopancreatography does not reveal a tumour originating from the bilious duct system (B).
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After performing magnetic resonance tomography with cholangiopancreatography distant metastasis and lymphadenopathy were not detected (Fig. 1).
The Figure indicates the timeline of this case report.
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The post interventional course was without complications and the patient left the hospital within the next 2 days (Fig. 2).
Images of the gastroduodenoscopy. The tumour was located approximately 2 cm above the Papilla vateri (A). After submucosal injection with adrenalin (B) and mucosal dissection (C) the tumour was successfully removed via cautery snare. The defect of the mucosa was covered with two clips (D).
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The defect of the mucosa was covered with two clips (Fig. 3).