Abstract
A case of a 62-year-old Japanese man with a benign papillary adenoma of the duodenal ampulla and marked dilatation of the pancreatic duct, pancreatitis, and cholelithiasis is described. Polypectomy combined with papilloplasty and cholecystectomy were performed, resulting in rapid disappearance of the complications. No recurrence of the tumor or pancreatitis has been observed in the 18 months since the operation. A review of 42 cases of benign duodenal ampullary adenoma reported in Japan (until March 1986) indicated that this was the second case with dilatation of the pancreatic duct and pancreatitis as complications. The best operative procedure for this type of duodenal lesion is debatable. Our experience in this case suggests that total removal of the tumor with papilloplasty should be the first choice of therapy if no evidence of malignancy exists clinically or pathologically.
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Schedule a callMore From: The journal of the Japanese Practical Surgeon Society
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