69 years old female patient presents with weight loss of 5kg and degradation of general condition after flu-like infection with diffuse abdominal problems.

1992 Mammary carcinoma with segment resection and radiation / von Willebrand disease / Hypertension

Examination findings:
Pressure pain in upper abdomen, non-irritating scars after mammary sugery.

EGD: Sessile polypus-like lesion 3 cm diameter in duodenum descendens

Tubulovillousadenoma of duodenal mucosa with low grade dysplasia.

After preservation of the histology from the biopsy, the polyp was removed by a subtotal mucosectomy after an injection with methylene blue.

The remains of the adenoma were removed completely in another meeting.