PT  - JOURNAL ARTICLE
AU  - Mohamed, Abdelrahman O.
AU  - Joshi, Sandhya
AU  - Czechowski, Janusz
AU  - Branicki, Frank
TI  - Hepatocellular carcinoma directly invading the duodenum
DP  - 2005 Mar 01
TA  - Saudi Medical Journal
PG  - 478--480
VI  - 26
IP  - 3
4099  - http://smj.org.sa/content/26/3/478.short
4100  - http://smj.org.sa/content/26/3/478.full
SO  - Saudi Med J2005 Mar 01; 26
AB  - Recurrent gastrointestinal bleeding from hepatocellular carcinoma HCC invading the duodenum is very rare. We present a case of 50-year-old male who was admitted with a history of recurrent upper gastrointestinal tract UGIT bleeding, weight loss and anemia. The patient was known to have a chronic hepatitis C. Endoscopic examination showed grade-2 non-bleeding esophageal varices, and a large ulcerated duodenal mass partially obstructing the duodenal bulb outlet and causing recurrent UGIT bleeding. Pathological evaluation of the mass revealed HCC.