case_images: PMC6260360_01
case_images: CT scan showing a large tumor arrising from the first jejunal segment: A. Sagital image; B. Coronal image.
case_images: gr1.jpg
case_images: PMC6260360_01_gr1.jpg
case_images: fig0005
case_images: An Angio-CT was requested and showed a large exophytic mass arising apparently from the 4th duodenal segment and first jejunal segment with approximately 20 x 14 x 13 cm, with vascularization provided from branches from the upper mesenteric artery, with vascular dilatations inside the tumor and apparent intratumoral bleeding, without intraperitoneal bleeding (Fig. 1).
case_images: Image of the tumor found during exploratory laparotomy.
case_images: gr2.jpg
case_images: PMC6260360_01_gr2.jpg
case_images: fig0010
case_images: Due to haemodynamic instability the patient was submitted to emergency laparotomy, in witch a large tumor was found arising from the first jejunal segment (2 cm after duodenual-jejunal flexure) (Figs. 2e and 3 ).
case_images: Detail of the tumoral mass arrising from the first jejunal segment.
case_images: gr3.jpg
case_images: PMC6260360_01_gr3.jpg
case_images: fig0015
case_images: Due to haemodynamic instability the patient was submitted to emergency laparotomy, in witch a large tumor was found arising from the first jejunal segment (2 cm after duodenual-jejunal flexure) (Figs. 2e and 3 ).
case_images: Image of the duodenal-jejunal anastomosis.
case_images: gr4.jpg
case_images: PMC6260360_01_gr4.jpg
case_images: fig0020
case_images: A side-to-side manual anastomosis was performed between the 3rd duodenal segment and the jejunum (Fig. 4).