Abstract
Herein we report a case of hemangioma with a rare localization in the major duodenal papilla presenting with a recurrent intraluminal bleeding in a 60-years old patient. Late onset, clinical and endoscopic signs suspicious for malignancy and inability to rule out cancer by preoperative biopsy defined an aggressive surgical approach. The patient underwent classical Whipple procedure after failing an attempt of endovascular embolization of the posterior pancreatoduodenal artery with unfavorable surgical outcome. Available preoperative diagnostic modalities and their accuracy levels are discussed.
Highlights
Описан случай хирургического лечения гемангиомы с редкой локализацией в большом сосочке двенадцатиперстной кишки с дебютом в виде рецидивирующего желудочно-кишечного кровотечения у пациента 60 лет
we report a case of hemangioma with a rare localization in the major duodenal papilla presenting with a recurrent intraluminal bleeding in a 60-years old patient
Chen K, Zhou Y, Jin W, et al Laparoscopic pancreaticoduodenectomy versus open pancreaticoduodenectomy for pancreatic ductal adenocarcinoma: oncologic outcomes and long-term survival
Summary
For citation: Rayn VYu, Ionin VP, Persidskiy MA. Hemangioma of the major duodenal papilla complicated with bleeding. Herald of North-Western State Medical University named after I.I. Mechnikov. we report a case of hemangioma with a rare localization in the major duodenal papilla presenting with a recurrent intraluminal bleeding in a 60-years old patient. Clinical and endoscopic signs suspicious for malignancy and inability to rule out cancer by preoperative biopsy defined an aggressive surgical approach. The patient underwent classical Whipple procedure after failing an attempt of endovascular embolization of the posterior pancreatoduodenal artery with unfavorable surgical outcome. Available preoperative diagnostic modalities and their accuracy levels are discussed. Keywords: hemangioma; major duodenal papilla; gastrointestinal bleeding; pancreaticoduodenectomy
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