Pancreatic Cancer with a 120-mm Intramural Hematoma in the Duodenum—A Case Report—

Abstract

A 61-year-old man was referred to our hospital for abdominal pain and vomiting. Contrast-enhanced CT showed a huge hematoma in the 2nd portion of the duodenum and a 40-mm hypervascular mass in the pancreatic head. We made the diagnosis of pancreatic head cancer with a huge duodenal hematoma, and performed pancreatoduodenectomy, combined with superior mesenteric vein resection and partial resection of the transverse colon. Intramural duodenal hematoma is a rare disease. In most cases, intramural duodenal hematomas are reported to be caused by blunt abdominal trauma, and there are only a few reports of intramural duodenal hematoma caused by pancreatic cancer. Herein, we report a case of pancreatic cancer with an intramural duodenal hematoma that was treated by surgery.