Recurrent villous adenoma of the duodenum.
A patient is presented who in 1977 had a villous adenoma of the duodenum presenting with a diarrheal syndrome. Surgical removal of the polypoid mass lesion, which was pathologically a benign villous adenoma, resulted in resolution of her diarrhea. She remained asymptomatic until 6.5 yr later when diarrhea recurred. Radiographic and endoscopic examinations revealed a large villous adenoma within the proximal duodenum. After endoscopic polypectomy, her diarrhea promptly ceased. This is the first reported case of diarrhea associated with a villous adenoma of the duodenum.
D000236:Adenoma / Q000150:complications* / Q000175:diagnosis; D000368:Aged; D003967:Diarrhea / Q000209:etiology*; D004379:Duodenal Neoplasms / Q000150:complications* / Q000175:diagnosis; D005260:Female; D006801:Humans; D009364:Neoplasm Recurrence, Local / Q000150:complications*; D013997:Time Factors