title: Hepatocellular carcinoma directly invading the duodenum.
abstract: Recurrent gastrointestinal bleeding from hepatocellular carcinoma HCC invading the duodenum is very rare. We present a case of 50-year-old male who was admitted with a history of recurrent upper gastrointestinal tract UGIT bleeding, weight loss and anemia. The patient was known to have a chronic hepatitis C. Endoscopic examination showed grade-2 non-bleeding esophageal varices, and a large ulcerated duodenal mass partially obstructing the duodenal bulb outlet and causing recurrent UGIT bleeding. Pathological evaluation of the mass revealed HCC.
authors.affiliation: Department of Internal Medicine, Al-Ain Teaching Hospital, PO Box 17302, Al-Ain, United Arab Emirates. abduusman@hotmail.com
authors.forename: Abdelrahman O
authors.initials: AO
authors.lastname: Mohamed
authors.forename: Sandhya
authors.initials: S
authors.lastname: Joshi
authors.forename: Janusz
authors.initials: J
authors.lastname: Czechowski
authors.forename: Frank
authors.initials: F
authors.lastname: Branicki
mesh_terms: D006528:Carcinoma, Hepatocellular / Q000473:pathology*; D004379:Duodenal Neoplasms / Q000556:secondary*; D006801:Humans; D008113:Liver Neoplasms / Q000473:pathology*; D008297:Male; D008875:Middle Aged; D009361:Neoplasm Invasiveness