Abstract
Gastroscopy found a large, wide-based sessile polypoid mass, exulcerated at its top and filling a major part of the intestinal lumen. Conclusion based on biopsy: malignant mesenchymal tumour.
An abdominal CT scan revealed, besides this tumour, also metastases in the spleen. The descending (second) part of the duodenum was sewn end-to-end, about 4 cm underneath the ampulla of Vater, with the first loop of the jejunum, with anastomosis using atraumatic, two-layer continuous suture.
Splenectomy was performed at the end of the operation. Post-operative course was without complications.