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A rare case of periampullary carcinoma with ectopic ending of Vater's ampulla
World Journal of Gastroenterology, 10/12/09
Jin SG et al. – A 71–year–old woman was referred to 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 multiply 5 cm multiply 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.
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