Hemangioma of the major duodenal papilla complicated with bleeding

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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.

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Vasilisa Rayn

Khanty-Mansiysk state medical academy; District Clinical Hospital of the Khanty-Mansiysk Autonomous Okrug – Ugra

编辑信件的主要联系方式.
Email: raynvu@okbhmao.ru
ORCID iD: 0000-0003-2406-0000
SPIN 代码: 9455-8350

graduate student (department for general surgery, Khanty-Mansiysk State medical academy), surgeon (department for general surgery № 2 of the District Clinical Hospital of Khanty-Mansiysk, Russia

俄罗斯联邦, 628011, Khanty-Mansiysk, Mira 40; 628012, Khanty-Mansiysk, Kalinina 40

Vladimir Ionin

Khanty-Mansiysk state medical academy

Email: ionin.55@mail.ru

Doctor of Medical Sciences, Professor, Head of the Department of General and Faculty Surgery

俄罗斯联邦, 628011, Khanty-Mansiysk, Mira 40

M Persidskiy

District Clinical Hospital of the Khanty-Mansiysk Autonomous Okrug – Ugra

Email: mixajich@mail.ru

doctor of the first category of the pathoanatomical department

俄罗斯联邦, 628012, Khanty-Mansiysk, Kalinina 40

参考

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版权所有 © Rayn V.Y., Ionin V.P., Persidskiy M.A., 2020

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