Duodenal metastases are a very uncommon and peculiar cause of upper gastrointestinal bleeding. However, they should be considered in a patient presenting with upper gastrointestinal bleeding and a previous history of malignancy. The importance of recognising the unusual presentation of duodenal metastasis has to be emphasised. We describe two patients with upper gastrointestinal bleeding due to...

CONTEXT Ectopic pancreatic rest is an uncommon condition resulting in diverse clinical and pathological presentation. It results from altered development of two primitive pancreatic buds that fuse to form the uncinate-head and body-tail of normal gland. Ectopic pancreas is an anomaly where an ectopic rest develops at a place away from the normal site. CASE REPORT We describe a 48-year-old mal...

Received March 16th, 2015-Accepted April 28th, 2015

The presence of a periampullary duodenal diverticulum (PDD) is often observed during upper digestive tract barium meal studies and endoscopic retrograde cholangiopancreatography (ERCP). The impact of periampullary duodenal diverticulum for the formation of gallstones in the bile duct (choledocholithiasis) is widely accepted. In this study it using logistic regression modeling the appearance of ...

estimated incidence at all anatomic sites of 1 in 12 000. Although 67% of these lesions are found within the gastrointestinal tract, fewer than 1% are located at or near the ampulla of Vater. These periampullary tumours have characteristics that set them apart from carcinoids at other sites, including strong immunohistochemical positivity for somatostatin and presence of psammoma bodies. Althou...

CONTEXT Agenesis of the dorsal pancreas is one of the rare congenital malformations of pancreas. The association of agenesis of the dorsal pancreas with pancreatic tumors is extremely rare and only around 9 cases being reported till date. CASE REPORT We report a case of a fifty one year old woman with an agenesis of the dorsal pancreas with periampullary pancreaticobiliary adenocarcinoma. She...

The definition and management of borderline resectability for periampullary pancreatic adenocarcinoma are evolving. In this case report, we discuss the presentation, workup, and therapeutic management of a 40-year-old man who presented with borderline resectable, periampullary pancreatic cancer and underwent a margin-negative resection following neoadjuvant chemoradiotherapy. The definition of ...