Ectopic papilla of Vater in duodenum bulb

Peng, Yen‐Chun; Chow, Wai-Keung

doi:10.1097/md.0000000000014642

Cited by 10 publications

(17 citation statements)

References 18 publications

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“…Ectopic papilla of Vater is an underdiagnosed disease, and anomalous termination in the stomach is rare[ 2 , 4 ]. A retrospective study with 6133 enrollees who had received ERCP in Taiwan between 1988 and 2010 reported an incidence of approximately 0.13%, corresponding to the prevalence rate of Taiwan’s general population[ 2 ].…”

Section: Discussionmentioning

confidence: 99%

“…Diagnosis is dependent on the observation of the orifice location and duct through radiographic visualization with contrast medium[ 2 , 8 ]. Recognizing an ectopic papilla of Vater and ruling out fistulas, which may be secondary to ulcer diseases or choledocho-lithiasis, spontaneous or iatrogenic surgical fistulas, or surgical choledochoenteric diversions are also crucial[ 9 ].…”

Section: Discussionmentioning

confidence: 99%

“…A hook-shaped configuration may sometimes be visible with cholaniography, but this cannot be considered a reliable criterion. The reason for this is that the configuration may dynamically alter according to a patient’s position[ 2 ]. Balloon dilatation is the main treatment recommended and performed.…”

Section: Discussionmentioning

confidence: 99%

“…Increases in incidence and in prevalence may be due to the increasingly common use of endoscopic retrograde cholangiopan-creatography (ERCP). Potential locations for ectopic papilla are the stomach, pyloric canal, duodenal bulb, and the third or fourth portion of the duodenum[ 2 ]. In most cases, it remains undetected until symptoms present.…”

Section: Introductionmentioning

confidence: 99%

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Acute cholangitis detected ectopic ampulla of Vater in the antrum incidentally: A case report

Lee¹,

Fu²

2021

WJCC

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BACKGROUND The ampulla of Vater is an opening at the confluence of the common bile duct and pancreatic duct. It is located in the second portion of the duodenum. An ectopic papilla of Vater is an anomalous termination. Few cases have been reported. We report the rare case of a man with an ectopic ampulla of Vater in the pylorus. CASE SUMMARY An 82-year-old man had experienced abdominal pain and fever with chills 1 d before his presentation. A computed tomography scan of the abdomen demonstrated dilatation of the common bile duct approximately 2.2 cm in width. Gas retention was found in his intrahepatic ducts. Acute cholangitis with pneumobilia was identified, and he was hospitalized. Esophagogastroduo-denoscopy and endoscopic retrograde cholangiopancreatography disclosed no ampulla of Vater in the second portion of the duodenum. Moreover, a capsule-like foreign body (pharmaceutical desiccant) approximately 1 cm × 2 cm in size was found at the gastric antrum and peri-pyloric region. After the foreign body was removed, one orifice presented over the pyloric ring in the stomach, a suspected ectopic ampulla of Vater. Subsequently, sludge in the common bile duct was cleaned, and balloon dilatation was performed. The general condition improved daily. The patient was discharged in a stable condition and followed in our outpatient department. CONCLUSION This case involved an ampulla of Vater in an unusual location. Endoscopic retrograde cholangiopancreatography with balloon dilatation is the main treatment recommended and performed.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Acute cholangitis detected ectopic ampulla of Vater in the antrum incidentally: A case report

Lee¹,

Fu²

2021

WJCC

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“…One such feature is duodenal ulcer. Lee et al [ 4 ] and Taş et al [ 18 ] reported that 13 out of 18 patients (72%) and 16 out of 20 patients (80%) had a history of duodenal ulcers, respectively. Duodenal ulcers may be associated with apical stenosis or deformity.…”

Section: Discussionmentioning

confidence: 99%

Duodenal stenosis associated with an ectopic opening of the common bile duct into the duodenal bulb: a case report

et al. 2021

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Background Ectopic opening of the common bile duct is a rare congenital biliary anomaly. Herein, we present a case of duodenal stenosis with ectopic opening of the common bile duct into the duodenal bulb. Case presentation A 54-year-old man was referred with fever, nausea, and vomiting. He had experienced epigastric pain several times over the past 30 years. Endoscopy showed a post-bulbar ulcer, a submucosal tumor of the duodenum, and a small opening with bile secretion. Contrast duodenography revealed duodenal stenosis and bile reflux with a common bile duct deformity. Pancreatoduodenectomy was performed because of the clinical suspicion of a biliary neoplasm or groove pancreatitis. The resected specimen showed an ectopic opening of the common bile duct into the duodenal bulb and no tumor. Conclusions Ectopic opening of the common bile duct into the duodenal bulb is complicated by a duodenal ulcer, deformity, and stenosis mimicking groove pancreatitis or pancreatic tumors. Although rare, we should be aware of this anomaly for an accurate diagnosis.

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