Gastrotomy, pylorotomy, and duodenotomy
were performed; however, the bleeding site could not be identified.
was done and the mass was excised along with a cuff of normal duodenal mucosa.
was done and pulsatile bleeding from the ampulla of Vater was seen (Fig.
A separate duodenotomy
or a distal pancreatic resection to obtain a prograde pancreatogram are never indicated.
Lateral longitudinal duodenotomy
revealed the intraluminal cystic mass fixed to the medial wall of the duodenum.
A longitudinal duodenotomy
showed a diverticulum at the ampulla and two biopsies of the wall were taken.
was repaired over these tubes with interrupted sutures.
After a Kocher manoeuvre and duodenotomy
, a pedunculated polyp, 2x2cm in size, was found on the second portion of the duodenum with active bleeding, and the polypectomy was performed (Fig.
, (3) side-to-side duodeno-duodenostomy, appendicectomy Ohno et al.
A cholecistectomy, a transcystic cannulation of Vater's papilla and a longitudinal duodenotomy
on the second portion were performed.