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

M Kayahara, Kayahara M, T Ohta, Ohta T, Kitagawa H, H. Kitagawa, Miwa K, K Miwa, Urabe T, T Urabe, Murata T, T Murata
Digestive surgery · 2001 · doi:10.1159/000050115 · PMID:11351160
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A 42-year-old woman with epigastralgia and fever was diagnosed with rare adenomyomatosis of the papilla of Vater via intraoperative frozen-section examination, highlighting a diagnostic approach that avoids excessive surgery for this benign periampullary disease.

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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.

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Condition tags

endometriosis

MeSH descriptors

Ampulla of Vater Common Bile Duct Diseases Endometriosis Abdominal Pain Abdominal Pain Adult Biopsy Cholangiography Cholangiopancreatography, Endoscopic Retrograde Common Bile Duct Diseases Common Bile Duct Diseases Common Bile Duct Diseases Common Bile Duct Diseases Diagnosis, Differential Endometriosis Endometriosis Endometriosis Endometriosis Female Fever

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europepmc
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pubmed
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