ORCID (Optional)
Patrick Twohig: ORCID: 0000-0002-5423-8749
Erin Walsh: ORCID: 0000-0002-6824-0604
Amy Calderon: ORCID: 0009-0009-1187-9595
Document Type
Case Report
Disciplines
Digestive System | Digestive System Diseases | Higher Education | Medicine and Health Sciences | Neoplasms
Abstract
Direct invasion of hepatocellular carcinoma (HCC) into the duodenum is a unique and life-threatening complication of HCC that has been rarely reported. A 60-year-old male with known HCC and cirrhosis presented with melena. Computed tomography of the abdomen and pelvis showed a 7cm hepatic mass abutting the duodenum. Esophagogastroduodenoscopy demonstrated a large, actively oozing mass in the duodenum treated with Hemospray® followed by transarterial embolization (TAE). Active upper gastrointestinal bleeding due to duodenal invasion of HCC can be successfully treated with Hemospray® Endoscopic Hemostat and TAE.
DOI
https://doi.org/10.32873/unmc.dc.gmerj.5.2.012
Keywords
Hepatocellular carcinoma; gastrointestinal bleeding; duodenal invasion; embolization; Hemospray®
Creative Commons License
This work is licensed under a Creative Commons Attribution-Noncommercial-No Derivative Works 4.0 License.
Recommended Citation
Twohig, P., Walsh, E., , Calderon, A. Massive Upper GI Bleeding from Duodenal Invasion of hepatocellular carcinoma successfully treated with embolization and Hemospray®. Graduate Medical Education Research Journal. 2023 Dec 26; 5(2).
https://digitalcommons.unmc.edu/gmerj/vol5/iss2/12
Coronal (left) and axial (right) Computed tomography (CT) of the abdomen and pelvis showing 7.3 cm segment IV HCC mass (blue arrows) eroding into the duodenum (yellow arrows) with associated mass effect and hemoperitoneum (red arrows).
Figure 2.jpeg (60 kB)
Esophagogastroduodenoscopy (EGD) showing a large mass with ulceration and a clot over it noted in the distal bulb/proximal sweep of the duodenum with active bleeding (black arrow).
Included in
Digestive System Commons, Digestive System Diseases Commons, Higher Education Commons, Neoplasms Commons
