Page 50 - Virtual Vascular Vol 21
P. 50

Mesenteric-duodenal fistula





      A 67 year old man was admitted for tarry stool and coffee ground vomiting. PR
      showed melena.  OGD photos as shown:















































































                   Submucosal bulge at 4 part of duodenum (D4)
                                                   th
                   Ddx: GIST, small bowel tumor, extrinsic compression


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