The papilla of vater emptying into the duodenal bulb. Report of two cases.

Kubota, Toshihiro; Fujioka, Toshio; Honda, Shoji; Suetsuna, Junichi; Matsunaga, Kenichi; Terao, Hideo; Nasu, Masaru

doi:10.2169/internalmedicine1962.27.79

Cited by 26 publications

(30 citation statements)

References 3 publications

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“…In fact, diseases related with the biliary system are reported frequently in patients with ectopic CBD opening [2][3][4]9,[11][12][13][14][15][16][17][18]. In this study, CBD dilatation was found in 94% of the cases with or without intrahepatic biliary dilatation.…”

Section: Discussionmentioning

confidence: 61%

“…In another large series, the pancreatic canal was visualized in one of the eight patients and was opened to the papillary orifice in the bulbus, which also appeared normal [11]. The pancreatic channels of 11 patients who had CBD opening into the duodenal bulb were visualized in the literature [4,9,11,15]. Acute pancreatitis was diagnosed in only one case (there was no finding supporting pancreatitis other than elevated amylase level in this case, who was also a heavy alcohol user) [15].…”

Section: Discussionmentioning

confidence: 87%

“…However, entrance into third or fourth part of the duodenum and less commonly into more proximal sites such as the stomach, pylorus or bulb have been described in the literature. [1][2][3][4] Opening into the duodenal bulb has been indicated in a few case reports. The data about the clinical implications of this anatomic variation are very limited and the treatment usually involves surgery mainly because of the fear from the complications of endoscopic therapy.…”

Section: Introductionmentioning

confidence: 99%

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Aberrant Opening of the Common Bile Duct with Precancerous Change

Kang¹,

Kim²,

Kim³

2018

Korean J Pancreas Biliary Tract

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Section: Discussionmentioning

confidence: 61%

Section: Discussionmentioning

confidence: 87%

Section: Introductionmentioning

confidence: 99%

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Aberrant Opening of the Common Bile Duct with Precancerous Change

Kang¹,

Kim²,

Kim³

2018

Korean J Pancreas Biliary Tract

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“…As noted by previous authors, ectopic drainage of the common bile duct may be located along a line extending from the stomach to the fourth part of the duodenum [1][2][3][4][5] . The frequency of this anomaly fluctuates between 0% and 13% [1,6] .…”

Section: Discussionmentioning

confidence: 99%

“…On rare occasions it may be found in other sites, along a line extending from the stomach to the fourth part of the duodenum [1][2][3][4][5] . Here we present a case of periampullary carcinoma combined with ectopic opening of the Vater's ampulla into the fourth part of the duodenum and a low confluence of the cystic duct into the common bile duct.…”

Section: Introductionmentioning

confidence: 99%

A rare case of periampullary carcinoma with ectopic ending of Vater’s ampulla

Jin¹,

Chen²,

Yan³

et al. 2009

WJG

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A 71-year-old woman was referred to our department complaining of painless progressive jaundice for the last 3 mo. Magnetic resonance imaging and magnetic resonance cholangiopancreatography (MRCP) showed the ectopic hepatopancreatic ampulla draining into the fourth part of the duodenum adjacent to the duodenojejunal flexure; the irregular morphology of the duodenojejunal flexure likely due to a soft tissue mass. Laparotomy confirmed the presence of the abnormal ampulla of Vater located at the fourth part of the duodenum and a soft tissue tumor about 6 cm × 5 cm × 5 cm with a peduncle adjoining the ampulla. Resection of the tumor, including some peripheral tissue, and a Roux-Y loop anastomosis choledochojejunostomy were performed. Pathological examination indicated an intestinal villous adenoma accompanied by severe dysplasia and focal canceration. Periampullary carcinoma with ectopic ending of the Vater's ampulla into the fourth part of the duodenum is rather rare. The embryonic genetic background of this anomaly has not yet been fully explained. It is worth mentioning that MRCP is useful for demonstrating anomalies and anatomic variants of the biliary tract system and pancreatic duct.

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Aberrant pancreatic ductal organisation: a case report

Goel

Rustagi²,

Saha

et al. 2015

Surg Radiol Anat

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Anomalous pancreatic ductal system has always enthralled the anatomists, surgeons, gastroenterologists and radiologists alike. With the growing use of MRCP, ERCP and endoscopic and surgical procedures, the knowledge of anatomical aberrations of pancreaticobiliary tract becomes extremely important. Moreover, the anomalous pancreatic duct morphology may be responsible for atypical gastrointestinal complains. We report an exceptionally rare case of two accessory ventral pancreatic ducts opening separately into the common bile duct proximal to the hepato pancreatic ampulla. Concomitant occurrence of an ectopic major duodenal papilla, 3.8 cm distal to the pyloric end of stomach was also seen. Moreover, the accessory pancreatic duct and the minor duodenal papilla were absent. Clinical implications and embryological description of these rare anomalies are discussed. Awareness of such rare morphological variants can go a long way in assisting effective patient management.

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The papilla of vater emptying into the duodenal bulb. Report of two cases.

Abstract: Wehave identified two cases in which anomalous papilla of Vater was found emptying into the duodenal bulb. In both instances, bile outflow from the papilla was confirmed endoscopically and endoscopic retrograde cholangiopancreaticography (ERCP) was performed.

Cited by 26 publications

References 3 publications

Aberrant Opening of the Common Bile Duct with Precancerous Change

Aberrant Opening of the Common Bile Duct with Precancerous Change

A rare case of periampullary carcinoma with ectopic ending of Vater’s ampulla

Aberrant pancreatic ductal organisation: a case report

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