Duodenal tumour - adenocarcinoma
55 Y/O male with weight loss and bilious vomiting .
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Infiltrative tumoural stricture is noted at 3rd part of duodenum (D3), with involvement of pancreas head. There are also several periduodenal lymphadenopathies. Gastric and proximal duodenal dilatation is see before the lesion.
Features are consistent with duodenal adenocarcinoma which was confirmed pathologically.