Korean Journal of Gastrointestinal Endoscopy 1999;19(2): 322-334.
용종성종괴모양을 보인 십이지장 팽대부의 (Polypoid Stenosing Papillitis of the Ampulla of Vater)
오흥석, 황헌규, 박관석, 전 진, 박승철, 윤병옥, 정일권, 김홍수, 박상흠, 이문호, 김선주, 김대중 (Sok Oh, Heon Gyu Hwang, Kwan Seok Park, Jin Jeon, Seung Chul Park, Byung Ok Yoon, Il Kwun Chung, Hong Soo Kim, Sang Heum Park, Moon Ho Lee, Sun Joo Kim and Dae Joong Kim)
Abstract
"Stenosing papillitis" is a descriptive term for an anatomic deformity of the Ampulla of Vater due to chronic inflammation and fibrosis, which is characterized by narrowing of the lower end of the bile and pancreatic duct, and by clinical symptoms resembling pancreticobiliary disease. Duodenoscopic finding of "stenosing papillitis" usually shows edema, erythema, and laceration on Ampulla of Vater, but endoscopic finding such as polypoid mass is rare. We recently experienced one case of polypoid stenosing papillitis and report with a review of relevant literatures A 54-year-old man was admitted to our hospital because of chronic right upper abdominal pain for 2 years. Duodenoscopy re-vealed a polypoid mass with erythemaous color change on Ampulla of Vater, which was endoscopically resected by using a polypectomy snare, and pathologic examination showed chronic inflammation and fibrosis. (Korean J Gastrointest Endosc 19: 322 ∼327, 1999)
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