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  • Title: [Penetrating duodenal ulcer as the primary manifestation of intraductal papillary-mucinous pancreatic tumor].
    Author: Lügering A, Seidel M, Lügering N, Menzel J, Domschke W.
    Journal: Z Gastroenterol; 2000 Nov; 38(11):913-6. PubMed ID: 11132539.
    Abstract:
    A 60-year-old patient with a history of chronic pancreatitis and insulin-dependent diabetes was admitted to our hospital with a deeply excavated duodenal ulcer showing no signs of regression under 4-week parenteral nutrition and proton pump inhibitor therapy. Radiologic and endoscopic diagnostics could demonstrate a primary tumor of the pancreatic head penetrating into the duodenal lumen. After surgical treatment by pylorus-preserving pancreatoduodenectomy an abscessing intraductal papillary-mucinous neoplasm of the pancreas was established morphologically.
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