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Article
January 1953

GASTROINTESTINAL HEMORRHAGE FROM BENIGN TUMORS OF THE DUODENUM

Author Affiliations

LOS ANGELES
From the Surgical Service, Wadsworth Hospital, Veterans Administration Center, and the Department of Surgery, University of California School of Medicine at Los Angeles.

AMA Arch Surg. 1953;66(1):10-19. doi:10.1001/archsurg.1953.01260030021002
Abstract

SEVERAL investigators1 have emphasized that even though benign tumors of the small bowel occur rarely, they should be considered in differential diagnosis of unexplained bleeding from the gastrointestinal tract. Rankin and Newell2 have noted that bleeding occurred from benign tumors of the duodenum more frequently than from similar lesions located elsewhere in the small bowel. A majority of these neoplasms are asymptomatic and are discovered either at operation or autopsy. However, hemorrhage is the commonest symptom associated with them and may be the only one.

Diagnosis of bleeding duodenal neoplasms is often difficult to make. There is no clinical syndrome that is peculiar to these lesions, and roentgenographic studies may be of no aid. Because of the retroperitoneal location of the duodenum, palpation and transillumination of the region are difficult. Small duodenal tumors are thus more easily overlooked than are those in the jejunum and ileum. We wish

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