[Duodenal neurofibroma close to the papilla with hemorrhage and narrowing of the duct of Wirsung and the choledochus (author's transl)].
A solitary duodenal neurofibroma located very closely to the papilla and causing intestinal bleeding could be demonstrated by endoscopy and sonography in a 53 year old female. ERP showed narrowing of the proximal segment of the pancreatic main duct. The diagnosis was confirmed at surgery, in addition it was found, that the choledochus was incarcerated by the tumor as well. A duodeno-hemipancreatectomy after Whipple was performed, because of the localization of the tumor.
D003135:Common Bile Duct; D004379:Duodenal Neoplasms / Q000150:complications / Q000175:diagnosis*; D005260:Female; D006471:Gastrointestinal Hemorrhage / Q000209:etiology; D006801:Humans; D008875:Middle Aged; D009455:Neurofibroma / Q000175:diagnosis* / Q000601:surgery; D010183:Pancreatic Ducts
Papillennah gelegenes Neurofibrom des Duodenums mit Blutung und Einengung von D. Wirsungianus and Choledochus.