Real time ultrasound diagnosis of non-vaterian duodenal adenoma : A brief case report

Non-vaterian duodenal adenomas are rare lesions, usually present with bleeding and abdominal pain. Sonography is often the first imaging procedure in patients with vague upper abdominal complaints, unsuspected duodenal pathology may be encountered (1) . It is now widely accepted as the first choice for the investigation of abdominal masses. Oral water load is recognised as a good procedure for the detection of a bowel-related mass during sonographic examination (2) . In our case, we used the real-time ultrasound with water ingestion to detect the location of the duodenal lesion and its relationship to the neighboring structure. This report demonstrates that conventional real-time ultrasound is still a simple method to diagnose duodenal lesions.