Ampullary neoplasm: histology unknown

Case contributed by Dr Chris O'Donnell

Presentation

Progressive painless obstructive jaundice

Patient Data

Age: 75 years
Gender: Female
Double duct sign, ie obstruction to both CBD and pancreatic duct but pancreatic head is normal.  Mass is seen in the lumen of the duodenal 2nd part at the expected position of the ampulla of Vater

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