Clin Ultrasound.  2016 Nov;1(2):101-105. 10.18525/cu.2016.1.2.101.

Ampulla of Vater Cancer with Cholangitis and Pancreatitis

• Kim D

• KMID: 2555386
• DOI: http://doi.org/10.18525/cu.2016.1.2.101

Abstract

Ampullary of Vater cancer is a rare malignancy that arises from the distal biliary epithelium of the ampulla of Vater. Because of the central location of the lesion, patients often present with obstructive symptoms in the disease process. A 55-year-old man had abdomen pain with jaundice. Abdomen ultrasound showed periampullary mass with upstream dilatation and pancreatic duct dilatation. Endoscopic ultrasonography showed definite mass with pancreatic head and distal common bile duct invasion. We performed endoscopic retrograde cholangiopancreatography and the patient had surgery successfully. Although the patient had delayed gastric emptying, he recovered finally. The abdomen image including ultrasound is very exact and useful diagnostic modality for periampullary tumor.

Keyword

복통; 황달; 바터팽대종양; 복부 초음파; 위배출지연; Ampulla of Vater cancer; Jaundice; Abdomen ultrasound; Delayed gastric empyting