Gut Liver.  2010 Sep;4(3):419-422.

An Inflammatory Myofibroblastic Tumor of the Ampulla of Vater Successfully Managed with Endoscopic Papillectomy: Report of a Case

Affiliations
  • 1Department of Internal Medicine, The Catholic University of Korea College of Medicine, Seoul, Korea. cmcu@catholic.ac.kr
  • 2Department of Pathology, The Catholic University of Korea College of Medicine, Seoul, Korea.

Abstract

Inflammatory myofibroblastic tumors (IMTs) are solid neoplastic mesenchymal proliferations composed of myofibroblastic spindle cells admixed with inflammatory infiltrates. The documented sites in the gastrointestinal tract include the esophagus, small intestine, colon, appendix, rectum, pancreas, spleen, liver, and Meckel's diverticulum. Biliary IMTs are rare, and IMTs arising from the ampulla of Vater have not been reported previously. Herein we report the case of a 65-year-old woman with an extrahepatic biliary obstruction due to IMT of the ampulla of Vater, and a successful therapeutic approach using endoscopic ultrasonography and endoscopic papillectomy.

Keyword

Inflammatory myofibroblastic tumor; Ampulla of Vater; Endoscopic papillectomy

MeSH Terms

Aged
Ampulla of Vater
Appendix
Colon
Endosonography
Esophagus
Female
Gastrointestinal Tract
Humans
Intestine, Small
Liver
Meckel Diverticulum
Myofibroblasts
Pancreas
Rectum
Spleen
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