case_images: PMC7226638_01
case_images: Endoscopic view of the duodenal ulcer (arrow).
case_images: gr1.jpg
case_images: PMC7226638_01_gr1.jpg
case_images: fig0005
case_images: For the current admission, urgent upper endoscopy revealed a 1 cm irregular ulcer at posterior wall of first part of duodenum with adherent clot (Fig. 1).
case_images: Computed tomography showing the tumour (arrow) invade to duodenum.
case_images: gr2.jpg
case_images: PMC7226638_01_gr2.jpg
case_images: fig0010
case_images: It revealed a 2.4 cm recurrent hypervascular tumour at inferior part of right liver with local invasion to duodenum (Fig. 2).
case_images: Operative view showing the tumour invading the posterior wall of duodenum forming an ulcer (arrow) after the duodenum was opened.
case_images: gr3.jpg
case_images: PMC7226638_01_gr3.jpg
case_images: fig0015
case_images: Wedge resection of the tumour together with a cuff of involved duodenum was performed (Fig. 3).
case_images: The resected specimen with cuff of duodenal wall.
case_images: gr4.jpg
case_images: PMC7226638_01_gr4.jpg
case_images: fig0020
case_images: Pathology confirmed a 3.5 cm moderately differentiated HCC with invasion to duodenal wall associated with duodenal ulcer (Fig. 4).