Interní Med. 2013; 15(6-7): 225-228

Asymptomatic duodenal ulcer penetration into the liver of a patient with anticoagulant therapy

MUDr.Mgr.Jaroslav Maceček, Ph.D.¹, MUDr.Jiří Tůma¹, MUDr.Lukáš Prucek¹, MUDr.Jindřiška Judasová², MUDr.Dagmar Nedvědová²

¹ Interní oddělení a gastroenterologická ambulance, Středomoravská Nemocniční a.s. &ndash, odštěpný závod Nemocnice

Case report describes a patient with accidentally discovered hypoechogenic liver mass diagnosed by abdominal ultrasonography and confirmed

by CT scan and also the relationship to the wall of the duodenum was founded. The patient was examined and gradually the malignancy,

abscess or an inflammatory disease of the duodenum with the liver fistula were excluded. Esophagogastroduodenoscopy was done and the

deep duodenal bulb ulcer with penetration into the liver was detected. It was decided about conservative therapeutical approach with the

deployment of the maximum oral dose of proton pump inhibitors with full condition restitution. The patient was asymptomatic throughout.

Keywords: ulcer penetration, proton pump inhibitors, hypoechogenic liver mass

Published: July 15, 2013  Show citation