A Case of Ampullary Adenoma causing Severe Acute Pancreatitis caused by Ampullary Adenoma

Sachio Terai, Toshiaki Tujimura and Yonson Ku

Department of Surgery, Division of Hepato-Biliary-Pancreatic Surgery, Kobe University

A 45-year-old woman had been admitted to another hospital because of sudden epigastralgia. She was referred to our institution with a diagnosis of acute severe pancreatitis. After she recovered from the acute pancreatitis in response to best supportive management, a upper gastrointestinal fiberoptic endscopy was undertaken, which revealed a villous tumor at the papilla of Vater. Forceps biopsy of the tumor proved of diagnosis of adenoma. Pylorus-preserving pancreaticoduodenectomy was performed. Papillary adenoma of the ampulla of the duodenum with acute pancreatitis is relatively rare. Herein, we report a case of acute pancreatitis caused by the ampulla of the duodenum, which is relatively rare, and should be borne in mind in the clinical setting.

Key words
ampullary adenoma, acute pancreatitis, pyrolus preserving pancreaticoduodenectomy

Reprint requests
Sachio Terai Department of Surgery, Division of Hepato-Biliary-Pancreatic Surgery, Kobe University
7-5-2 Kusunokicho, Chuo-ku, Kobe, 650-0017 JAPAN

Accepted
April 23, 2008

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