重症急性膵炎を発症した十二指腸乳頭部腺腫の1例

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

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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.

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