Lymphangioma of Vater's Ampulla: A Rare Cause of Obstructive Jaundice: Endoscopic Therapy

Artaza, T.; Potenciano, J. L. M.; Legaz, María Luisa; Muñoz, Concepción; Talavera, Aurora; Sanchez, Emily

doi:10.3109/00365529509096331

Cited by 7 publications

(3 citation statements)

References 11 publications

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“…Upper gastrointestinal endoscopy is central for the diagnosis of a wide array of tumours arising at the ampulla of Vater including neoplasms such as neuroendocrine tumours, adenomas, and adenocarcinomas as well as non-neoplastic lesions such as lipomas, lymphangiomas, fibromas, adenomyomas, and hamartomas[ 3 - 5 ]. Acute pancreatitis, a commonly encountered complication following endoscopic retrograde cholangiopancreatography, is extremely rare following non-thermal endoscopic biopsy of the ampulla of Vater without previous cannulation.…”

Section: Discussionmentioning

confidence: 99%

Acute pancreatitis following endoscopic ampullary biopsy: A case report

George,

Rajesh,

Chitrambalam

2023

World J Gastrointest Endosc

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BACKGROUND Endoscopic biopsy is mandatory for the diagnosis of malignant and premalignant ampullary tumours. The commonly reported inadvertent complications following routine mucosal biopsy include perforation and haemorrhage. Acute pancreatitis is an extremely rare complication following this procedure. CASE SUMMARY This report details the case of a 59-year-old man who underwent biopsy of the ampulla for a suspected periampullary tumour. Following the procedure, the patient presented with symptoms of acute pancreatitis which was substantiated by laboratory and radiological investigations. He was conservatively managed and discharged following complete resolution of symptoms. CONCLUSION This case report serves to highlight the importance of this potential complication following routine endoscopic biopsy of the ampulla.

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Section: Discussionmentioning

confidence: 99%

Acute pancreatitis following endoscopic ampullary biopsy: A case report

George,

Rajesh,

Chitrambalam

2023

World J Gastrointest Endosc

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“…The diagnostic accuracy was higher with the side-viewing endoscope than with the forward-viewing endoscope, which was identical the results of previous studies. 3 , 18 Therefore, suspicious neoplastic tumors revealed during routine endoscopy require repeated examination with a side-viewing endoscope. However, many endoscopists are not familiar with the use of side-viewing endoscopes.…”

Section: Discussionmentioning

confidence: 99%

“…A wide variety of tumors, including neoplasms such as neuroendocrine tumors, adenomas, and adenocarcinomas, as well as non-neoplasms such as inflammatory tumors, lipomas, lymphangiomas, fibromas, adenomyomas, and hamartomas, arise at the ampulla of Vater (AoV). 1 , 2 , 3 , 4 , 5 , 6 Endoscopy is the most valuable method of identifying ampullary tumors. Observation of macroscopic appearance and biopsy specimens can be performed during routine endoscopy.…”

Section: Introductionmentioning

confidence: 99%

Diagnostic Accuracy of the Initial Endoscopy for Ampullary Tumors

et al. 2015

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Background/AimsAmpullary tumors come in a wide variety of malignant forms. We evaluated the diagnostic accuracy of endoscopy for ampullary tumors, and analyzed the causes of misdiagnosis.MethodsWe compared endoscopic imaging and biopsy results to final diagnoses. Types of endoscope, numbers of biopsy specimens taken, and final diagnoses were evaluated as possible factors influencing diagnostic accuracy.ResultsFinal diagnoses were 19 adenocarcinomas, 18 normal or papillitis, 11 adenomas, two adenomyomas, one paraganglioma, and one neuroendocrine tumor. The diagnostic accuracy of endoscopic imaging or the initial biopsy was identical (67.3%). At least one test was concordant with the final diagnosis in all except two cases. Compared with the final diagnosis, endoscopic imaging tended to show more advanced tumors, whereas the initial biopsy revealed less advanced lesions. The diagnostic accuracy of the initial biopsy was influenced by the type of endoscope used and the final diagnosis, but not by the number of biopsies taken.ConclusionsEndoscopy has limited accuracy in the diagnosis of ampullary tumors. However, most cases with concordant endoscopic imaging and biopsy results are identical to the final diagnosis. Therefore, in cases where both of these tests disagree, re-evaluation with a side-viewing endoscope after resolution of papillitis is required.

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Lymph Vessel Tumors of the Hepatobiliary Tract

Zimmermann¹

2016

Tumors and Tumor-Like Lesions of the Hepatobiliary Tract

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Lymphangioma of Vater's Ampulla: A Rare Cause of Obstructive Jaundice: Endoscopic Therapy

Abstract: We believe endoscopic therapy is the ideal treatment for small lymphangiomas in the digestive tract.

Cited by 7 publications

References 11 publications

Acute pancreatitis following endoscopic ampullary biopsy: A case report

Acute pancreatitis following endoscopic ampullary biopsy: A case report

Diagnostic Accuracy of the Initial Endoscopy for Ampullary Tumors

Lymph Vessel Tumors of the Hepatobiliary Tract

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