Open AccessHemangioma of the major duodenal papilla complicated with bleeding
Author(s) -
Vasilisa Yu. Rayn,
Райн Василиса Юрьевна,
Vladimir Petrovich Ionin,
Ионин Владимир Петрович,
M A. Persidskiy,
Персидский Михаил Александрович
Publication year - 2020
Publication title -
vestnik severo-zapadnogo gosudarstvennogo medicinskogo universiteta im. i.i. mečnikova
Language(s) - English
Resource type - Journals
eISSN - 2618-9704
pISSN - 2618-7116
DOI - 10.17816/mechnikov201911481-85
Subject(s) - medicine , major duodenal papilla , malignancy , hemangioma , radiology , embolization , surgery , ampulla of vater , biopsy , carcinoma
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.