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Case Report
Copyright: ©Author(s) 2026.
World J Gastroenterol. Dec 14, 2026; 32(46): 122970
Published online Dec 14, 2026. doi: 10.3748/wjg.122970
Table 2 Summary of pancreatic adenocarcinoma complicated by intramural duodenal hematoma
Ref.
Location of pancreatic cancer
Stage1 and size
Duodenal invasion
Prior history of trauma
Antithrombotic medication
Prior endoscopy
Location of duodenal hematoma
Contact between hematoma and tumor
Treatment
Tanaka et al[6], 2002Head of the pancreaspT1N0M0: 15 mm × 15 mm × 12 mmNoPresumedNoNoSecond part, anterior wallNoPancreatico-duodenectomy
Chou et al[7], 2007Uncinate process30 mm × 30 mm × 28 mmYesNoNoNoSecond part, opposite to ampulla of VaterYesPancreatico-duodenectomy
Kitamura et al[8], 2013Head of the pancreas (pancreaticoduodenal groove)pT2N?M1, pStage IV: 30 mm × 30 mm × 25 mmYesNoNoNoSecond and third partNoPancreatico-duodenectomy
Khurana et al[9], 2014Neck of the pancreaspT1N1M0, pStage IIB
19 mm × 15 mm
NoNoWarfarin (for deep vein thrombosis)NoSecond partNoDistal pancreatectomy
Nitta et al[10], 2019Head of the pancreaspT3N2M0, pStage III
60 mm
YesNoNoNoSecond partNoPancreatico-duodenectomy
Current caseHead of the pancreaspT2N2M0 pStage III
40 mm
YesNoNoERCP, 11 days priorSecond and third part, opposite to ampulla of VaterNoPancreatico-duodenectomy


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