Metastatic Periampullary Tumor from Hepatocellular Carcinoma Presenting as Gastrointestinal Bleeding

Figure 1

(a) A 3 × 2 cm ulcerated periampullary mass; previous biliary stents in place. ((b), (c)) First and second endoloops were deployed at the base of the mass one month apart. (d) Tumor remnant tissue one month after the second endoloop; two endoloops are still in place.

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(b)

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