A 66-year-old man with unresectable pancreatic cancer who had undergone placement of a covered self-expandable metallic stent (CSEMS; diameter, 10 mm; length, 6 cm) 8 months previously was admitted for… Click to show full abstract
A 66-year-old man with unresectable pancreatic cancer who had undergone placement of a covered self-expandable metallic stent (CSEMS; diameter, 10 mm; length, 6 cm) 8 months previously was admitted for cholangitis. Computed tomography showed invasion of the duodenal bulb (Picture 1a) and the proximal tip of the CSEMS was located in the duodenal bulb (Picture 1b). Esophagogastroduodenoscopy (EGD) revealed an ulcer in the duodenal bulb and the
               
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