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[A case of accessory papilla of duodenum causing intestinal bleeding]
Takayoshi Nakajima1, Tadashi Tsukamoto, Yutaka Hamabe
1Department of Gastroenterological Surgery, Yodogawa Christian Hospital. t-nakajima@hospital.city.osaka.jp
Summary
A rare case of bleeding duodenal submucosal tumor occurred from the accessory papilla. Emergency surgery was required to resect the bleeding tumor, highlighting a unique clinical presentation.
Area of Science:
- Gastroenterology
- Surgical Oncology
- Pathology
Background:
- Submucosal tumors of the duodenum can present with various symptoms, including bleeding.
- The papilla of Vater and accessory papilla are key anatomical landmarks in the duodenum.
Observation:
- A 50-year-old male presented with melena due to arterial bleeding.
- Endoscopy identified a 1.5cm duodenal submucosal tumor near the papilla of Vater.
Findings:
- The bleeding tumor was located in the accessory duodenal papilla.
- Histopathological analysis confirmed the tumor's origin.
Implications:
- This case highlights a rare cause of upper gastrointestinal bleeding.
- Surgical resection is a viable treatment for bleeding duodenal submucosal tumors.
- Understanding the anatomy of duodenal papillae is crucial for diagnosis and treatment.
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