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 20 October 2017

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GastroHep.com - the global online resource for all aspects of gastroenterology, hepatology and endoscopy Profile of Roy Pounder

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GastroenterologySymptoms/signs of gastrointestinal disease

Hemorrhage

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Gastrointestinal hemorrhage due to tumor invasion of duodenojejunal Flexure.
A 73-year-old man presented with gastrointestinal hemorrhage. After bleeding for three days and receiving 15 units of blood, he underwent a laparotomy. A mass of tumor was found in the root of the small bowel mesentery, which had eroded into the duodenojejunal flexure. Tumor was found encasing the superior mesenteric artery. He underwent resection of the tumor and the involved intestine. The tumour proved to be renal cell in origin - the patient had undergone a left nephrectomy 15 years earlier. He is alive and well three years later. The pathological specimen shows deposits of renal cell tumor in the mesentery of the jejunum.

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Peter Devitt, Adelaide, Australia

Gastrointestinal hemorrhage due to tumor invasion of duodenojejunal Flexure.

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