EURORAD ESR

Case 3198

Abdominal pain and anemia under study

Author(s)
Ros Mendoza L, Zapater C, Marín MA, Galbe R
 
Patient
female, 58 year(s)
 
 
  • Figure 1
    Abdominal ultrasonography
     

    It did not show any focal hepatic lesions or dilatation of the biliary tree.

     
    Area of Interest: unknown; Imaging Technique: Abdominal ultrasonography;

    The pancreatic area was normal.

     
    Area of Interest: unknown; Imaging Technique: Abdominal ultrasonography;

    Axial view. There was a “pseudokidney sign” in the adjacent area to the pancreatic tail.

     
    Area of Interest: unknown; Imaging Technique: Abdominal ultrasonography;

    Longitudinal view.

     
    Area of Interest: unknown; Imaging Technique: Abdominal ultrasonography;
     
     
  • Figure 2
    Upper gastrointestinal barium tract study
     

    The stomach presented good peristaltic activity, and the duodenal bulb was of a normal morphology. Morphologic alteration of the third duodenal portion was identified, adjacent to the duodenojejunal angle. Presented a...

     
    Area of Interest: unknown; Imaging Technique: Upper gastrointestinal barium tract study;

    There was a mass effect over the adjacent small bowel loops. There were signs of exoendoenteric involvement with probable mesenteric alteration and ulceration of the lesion.

     
    Area of Interest: unknown; Imaging Technique: Upper gastrointestinal barium tract study;
     
     
  • Figure 3
    Helical computed tomography after intravenous contrast administration
     

    Irregular mass located in the third duodenal portion, which contacts with the great curvature of the gastric body, the pancreatic body and the duodenojejunal angle.

     
    Area of Interest: unknown; Imaging Technique: Helical computed tomography after intravenous contrast administration;

    The appearance of the mass was very bizarre with mural thickening, causing displacement of the adjacent structures.

     
    Area of Interest: unknown; Imaging Technique: Helical computed tomography after intravenous contrast administration;

    No annotation

     
    Area of Interest: unknown; Imaging Technique: Helical computed tomography after intravenous contrast administration;

    No annotation

     
    Area of Interest: unknown; Imaging Technique: Helical computed tomography after intravenous contrast administration;
     
     
It did not show any focal hepatic lesions or dilatation of the biliary tree.
 
The pancreatic area was normal.
 
Axial view. There was a “pseudokidney sign” in the adjacent area to the pancreatic tail.
 
Longitudinal view.
 
The stomach presented good peristaltic activity, and the duodenal bulb was of a normal morphology. Morphologic alteration of the third duodenal portion was identified, adjacent to the duodenojejunal angle. Presented a rigid and irregular appearance, but caused no difficulty to the contrast flow.
 
There was a mass effect over the adjacent small bowel loops. There were signs of exoendoenteric involvement with probable mesenteric alteration and ulceration of the lesion.
 
Irregular mass located in the third duodenal portion, which contacts with the great curvature of the gastric body, the pancreatic body and the duodenojejunal angle.
 
The appearance of the mass was very bizarre with mural thickening, causing displacement of the adjacent structures.
 
 
 
 
 
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