Clin Endosc.  2024 Nov;57(6):839-840. 10.5946/ce.2024.141.

Bulging of the major duodenal papilla

• Jeong HT
• Han J

• KMID: 2561171
• DOI: http://doi.org/10.5946/ce.2024.141

Figure

• 

  Fig. 1. (A) Abdominal computed tomography showed a 1.4 cm cystic mass (asterisk) at the ampullary level. (B) Initial endoscopic retrograde cholangiopancreatography demonstrated smooth bulging of the major duodenal papilla. (C) Type III periampullary diverticulum was noted. Orifice was well seen. (D) Second endoscopic retrograde cholangiopancreatography showed persistent bulging of the major duodenal papilla. (E) Deep bile duct cannulation was successful after infundibulotomy. (F) Cholangiography showed saccular dilatation at the ampullary level.

Reference

1. Todani T, Watanabe Y, Narusue M, et al. Congenital bile duct cysts: classification, operative procedures, and review of thirty-seven cases including cancer arising from choledochal cyst. Am J Surg. 1977; 134:263–269.

2. Law R, Topazian M. Diagnosis and treatment of choledochoceles. Clin Gastroenterol Hepatol. 2014; 12:196–203.

3. Lobeck IN, Dupree P, Falcone RA Jr, et al. The presentation and management of choledochocele (type III choledochal cyst): A 40-year systematic review of the literature. J Pediatr Surg. 2017; 52:644–649.

4. Lee DH, Kim JS, Kim JH, et al. A case of choledochocele associated with papillary adenocarcinoma. Clin Endosc. 2007; 35:364–368.