DUODENAL villous tumors are rare lesions that often have a characteristic roentgenographic appearance on upper gastrointestinal series. A typical example is discussed along with the important features of this interesting entity.
Report of a Case
A 55-year-old woman with a previous history of adult-onset diabetes mellitus, hypertension, and organic dementia was admitted to The New York Hospital with complaints of increasingly severe, crampy lower quadrant abdominal pain, no bowel movements for one week, and nausea and vomiting for three days. Findings from a physical examination were unremarkable, and admission laboratory results disclosed hypokalemia (presumably from chronic diuretic therapy), leukocytosis (from a urinary tract infection), glycosuria, ketonuria, and anemia. Anteroposterior and right lateral (Figure) roentgenograms from an upper gastrointestinal series show multilocular cauliflower-like filling defect in the descending duodenum.
Adenocarcinoma arising in a villous adenoma of the duodenum with submucosal invasion.
The upper gastrointestinal tract series showed a multilocular