Presentation
Follow-up after treatment for colon adenocarcinoma.
Patient Data
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It is seen a double duct sign, that refers to the presence of simultaneous dilatation of the common bile and pancreatic ducts. At the end of these dilated ducts, there is a solid mass protruding into the second portion of the duodenum. There is also dilatation of the intrahepatic bile ducts.
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Solid mass protruding into the second portion of the duodenum associated with a double duct sign, that refers to the presence of simultaneous dilatation of the common bile and pancreatic ducts.
Case Discussion
Carcinoma of the papilla of Vater is an uncommon tumor accounting for about 1% of all adenocarcinomas and approximately for 5% of gastrointestinal tract carcinomas 1.
Ampullary carcinomas can be either sporadic or may be part of several inherited cancer syndromes where they may associate with colorectal cancer.
There is evidence that sporadic ampullary carcinomas may also associate either synchronously or metachronously with other malignancies such as sporadic colorectal carcinomas 1.
Endoscopic biopsy of this lesion showed adenocarcinoma.
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