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Endoscopy 1987; 19(1): 37-38
DOI: 10.1055/s-2007-1018225
© Georg Thieme Verlag KG Stuttgart · New York

Hepatocellular Carcinoma Presenting with Bleeding Due to Duodenal Perforation by the Tumor

P. Humbert, J. Sarmiento1 , J. Boix, R. Planas, E. Quintero, T. Franquet2 , M. Villagrasa
  • Department of Gastroenterology, Hospital Germans Trias I Pujol, Badalona, Barcelona, España
  • 1Department of Pathology, Hospital Germans Trias I Pujol, Badalona, Barcelona, España
  • 2Department of Radiology, Hospital Germans Trias I Pujol, Badalona, Barcelona, España
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Publication History

Publication Date:
17 March 2008 (online)

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See also:

Small Cell Carcinoma of the Esophagus in a Cirrhotic PatientEndoscopy 1993; 25(06): 440-440
DOI: 10.1055/s-2007-1010363

Summary

A 70-year-old man was admitted with upper GI bleeding. Endoscopy showed a large duodenal bleeding mass. The aspect of the tumor was macroscopically similar to the liver surface. The diagnosis of hepatocellular carcinoma was made by aspiration cytology guided by abdominal computed tomographic scan. The postmortem examination revealed an extensive primary hepatic tumor which caused an ulcer in the first part of the duodenum and protruded into the lumen. This unusual presentation of a hepatocellular carcinoma has not been previously reported.

Key words:

Hepatocellular carcinoma - Duodenal perforation - GI bleeding