An Ampulla of Vater Carcinoid Tumor that Presented with Upper Gastrointestinal Bleeding

Korean J Gastrointest Endosc > Volume 35(6); 2007 > Article

Korean Journal of Gastrointestinal Endoscopy 2007;35(6): 420-423.

상부 위장관 출혈로 발현한 바터 팽대부 유암종 1예

박재석ㆍ방성조ㆍ정석원ㆍ권성호ㆍ김병철ㆍ한동하ㆍ김현수ㆍ김영민*ㆍ남창우^†ㆍ김도하

울산대학교 의과대학 울산대학교병원 내과학교실, *병리학교실, ^†외과학교실

An Ampulla of Vater Carcinoid Tumor that Presented with Upper Gastrointestinal Bleeding

Jae Serk Park, M.D., Sung Jo Bang, M.D., Seok Won Jung, M.D., Sung Ho Kwon, M.D., Byung Chul Kim, M.D., Dong Ha Han, M.D., Hyun Soo Kim, M.D., Young Min Kim, M.D.*, Chang Woo Nam, M.D.^† and Do Ha Kim, M.D.

Departments of Internal Medicine, *Pathology and ^†General Surgery, University of Ulsan College of Medicine, Ulsan University Hospital, Ulsan, Korea

Abstract

A Carcinoid tumor of the ampulla of Vater is extremely rare, accounting for less than 0.3% of all gastrointestinal carcinoids. Most reported cases have arisen from the gallbladder. An ampullary carcinoid most commonly presents with jaundice or upper abdominal discomfort, and bleeding from the tumor is exceedingly rare. A diagnosis is most frequently made postoperatively due to submucosal spread of the tumor. As the metastatic potential cannot be predicted by tumor size, a Whipple pancreaticoduodenectomy rather than local excision is considered the treatment of choice. We herein report a case of a primary carcinoid tumor located at the ampulla of Vater that presented as gastrointestinal bleeding; the tumor was diagnosed by an endoscopic biopsy after a papillary sphinterotomy. (Korean J Gastrointest Endosc 2007;35:420-423)

Key Words: Ampulla of Vater, Carcinoid tumor, Upper gastrointestinal bleeding

주요어: 바터 팽대부, 유암종, 상부 위장관 출혈