Carcinoma of the ampulla of Vater

Case contributed by Dr Bruno Di Muzio

Presentation

Patient follow-up after treatment for colon adenocarcinoma.

Patient Data

Age: 65
Gender: Female
CT

CT Abdomen and pelvis

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.

Diagram

Annotated images.

Case Discussion

Carcinoma of the papilla of Vater is an uncommon tumour 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 from this lesion showed adenocarcinoma. 

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Case information

rID: 19429
Case created: 8th Sep 2012
Last edited: 4th Feb 2016
Inclusion in quiz mode: Included

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