Figure 1: (a) Computed tomography scan with hepatic lesion. (b) Computed tomography scan abdomen with bilateral adrenal enlargement. (c) Gross specimen showing 0.5 cm × 0.5 cm lesion in the medial wall of the first part of the duodenum in proximity to the pancreas. (d) Scanner view of lesion suggesting of neuroendocrine tumor of intermediate-grade without perineural invasion, lymphovascular emboli, or muscular invasion and compressed normal tissue seen along left border