Figure 4From: A case of wedge resection of duodenum for massive gastrointestinal bleeding due to duodenal metastasis by renal cell carcinomaTumor invasion of the descending duodenum with mucosal ulcerations and focal hemorrhage. The ampulla of Vater was not affected, but part of the duodenum was tightly adherent to the surrounding tissue, including the inferior vena cava and retroperitoneal space.Back to article page