Adenomyomatosis of the papilla of Vater: a case illustrating diagnostic difficulties.

Abstract:

AIMS:To describe the extremely rare case of an adenomyoma of the papilla of Vater. CASE REPORT:A 42-year-old woman was hospitalized for epigastralgia and high fever. The clinical presentation and endoscopic, biochemical, and radiologic findings led to the diagnostic impression of a dysfunction of the papilla of Vater. The patient was treated successfully by laparotomy and duodenotomy, incorporating cholangiomanometry and cholangiography. Intraoperative frozen-section examination of a transduodenal papillectomy specimen led to the diagnosis of adenomyomatosis of the papilla. The patient is doing well 38 months postoperatively. CONCLUSION:Such a combined approach to intraoperative diagnosis was important to avoid excessive surgery for a benign periampullary disease.

journal_name

Dig Surg

journal_title

Digestive surgery

authors

Kayahara M,Ohta T,Kitagawa H,Miwa K,Urabe T,Murata T

doi

10.1159/000050115

subject

Has Abstract

pub_date

2001-01-01 00:00:00

pages

139-42

issue

2

eissn

0253-4886

issn

1421-9883

pii

50115

journal_volume

18

pub_type

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