Hepatocellular carcinoma directly invading the duodenum.
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.
Mohamed
Abdelrahman O
AO
Department of Internal Medicine, Al-Ain Teaching Hospital, PO Box 17302, Al-Ain, United Arab Emirates. abduusman@hotmail.com
Joshi
Sandhya
S
Czechowski
Janusz
J
Branicki
Frank
F
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