case_images: PMC11801341_01
case_images: Esophago-gastro-duodenoscopy (EGD) revealed a congested bulging in the post-bulbar region extending into the first 2 cm of the duodenum, accompanied by erosion and redness in part of the duodenal bulb.
case_images: IFSO_A_2456651_F0001_C.jpg
case_images: PMC11801341_01_IFSO_A_2456651_F0001_C.jpg
case_images: F0001
case_images: Abdominal CT scan images displaying an irregular, non-stenosing, heterogeneous fibrous thickening of the lower aspect of the duodenal bulb. These cystic spaces are associated with increased fat density, multiple necrotic lymphadenopathies, and bilobar hepatic lesions, sparing no segment, indicative of a secondary nature.
case_images: IFSO_A_2456651_F0003_B.jpg
case_images: PMC11801341_01_IFSO_A_2456651_F0003_B.jpg
case_images: F0002
case_images: An abdominal CT scan (Figures 2 and 3) showed irregular, non-stenosing, heterogeneous fibrous thickening of the lower aspect of the duodenal bulb.
case_images: Pathological findings of duodenal biopsy: bulbous infiltration by a well-differentiated adenocarcinoma. Tumor cells have large, atypical nuclei and form irregular glands. The stroma is infiltrated by chronic inflammatory cells.
case_images: IFSO_A_2456651_F0004_C.jpg
case_images: PMC11801341_01_IFSO_A_2456651_F0004_C.jpg
case_images: F0003
case_images: An abdominal CT scan (Figures 2 and 3) showed irregular, non-stenosing, heterogeneous fibrous thickening of the lower aspect of the duodenal bulb.