Cases journal · 2009
Double major papilla of Vater--a rare endoscopic finding during endoscopic retrograde cholangiopancreatography: a case report.
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Katsinelos Panagiotis, Chatzimavroudis Grigoris, Fasoulas Kostas, Katsinelos Taxiarchis, Pilpilidis Ioannis, Lazaraki Georgia, Terzoudis Sotiris, Kokonis George, Patsis Ioannis, Zavos Christos, Kountouras Jannis
Аннотация
BACKGROUND: A double major papilla of Vater is a rare congenital anomaly with only three documented cases described in the literature.
CASE REPORT: We report the case of a 19-year-old man, with chronic ulcerative pancolitis and congenital sphrerocytosis, who underwent endoscopic retrograde cholangiopancreatography because he had persistent elevation of liver enzymes and normal MRI cholangiography. During endoscopic retrograde cholangiopancreatography, a double papilla of Vater with separate drainage for the bile duct and the pancreatic duct was observed.
CONCLUSION: Endoscopic retrograde cholangiopancreatography showed normal pancreatogram and findings compatible with sclerosing cholangitis.
CASE REPORT: We report the case of a 19-year-old man, with chronic ulcerative pancolitis and congenital sphrerocytosis, who underwent endoscopic retrograde cholangiopancreatography because he had persistent elevation of liver enzymes and normal MRI cholangiography. During endoscopic retrograde cholangiopancreatography, a double papilla of Vater with separate drainage for the bile duct and the pancreatic duct was observed.
CONCLUSION: Endoscopic retrograde cholangiopancreatography showed normal pancreatogram and findings compatible with sclerosing cholangitis.