case_images: PMC3806701_01
case_images: CT scan of the patient with intravenous and peroral contrast. A tumor in the duodenum involving almost the entire lumen (arrow) can be seen.
case_images: cro-0006-0467-g01.jpg
case_images: PMC3806701_01_cro-0006-0467-g01.jpg
case_images: F1
case_images: A CT scan with intravenous and peroral contrast (fig. 1) revealed a tumor in the ampulla (arrow) involving the whole circumference of the duodenal lumen, but with no apparent involvement of major blood vessels or surrounding organs.
case_images: Images from the same scan as in fig. 1. Multiple nodules of different sizes can be seen in different intra-abdominal locations (A arrows). Surgical clips (B arrow) are also seen as a sign of previous abdominal surgery.
case_images: cro-0006-0467-g02.jpg
case_images: PMC3806701_01_cro-0006-0467-g02.jpg
case_images: F2
case_images: In addition, multiple nodular tumors were seen in several intra-abdominal locations, giving rise to the suspicion of peritoneal metastases (fig. 2).