Korean J Gastrointest Endosc.
2007 Mar;34(3):170-173.
Two Cases of Double Papilla of Vater
- Affiliations
-
- 1Department of Internal Medicine, Kyung Hee University College of Medicine, Seoul, Korea. krjoo@khu.ac.kr
Abstract
- The Vaterian system consists of the common bile duct and the duct of Wirsung as they conjoin at the level of the duodenum, forming the major papilla of Vater. A double papilla of Vater with separate openings that form the bile duct and the pancreatic duct is a rare anatomic anomaly, which is observed in 0.18% of patients during endoscopic retrograde cholangiopancreatography. When a double papilla is noted, the additional problem is to determine if it is an anatomic variant or a choledochoduodenal fistula. We report two cases of a double papilla; one was associated with choledocholithiasis, and the other was identified incidentally during screening upper gastrointestinal endoscopy.
