Abstract
A case of benign papilloma of the ampulla of Vater is presented and twenty-nine cases collected from the available world literature are reviewed. Ampullary papillomas often produce symptoms of biliary tract disease; however, none of the previously reported cases were demonstrated roentgenographically before operation. The lesion in the present report was clearly demonstrated with air-contrast roentgenograms of the duodenum. The treatment of choice for benign tumors of the ampulla of Vater is local excision and reimplantation of the terminal bile and pancreatic ducts into the duodenal wall. Such lesions should be studied histologically at the time of excision to establish the type of tumor and the presence or absence of malignancy. Despite the rare occurrence of such tumors, they serve to emphasize the importance of careful inspection of the terminal portion of the bile duct in all operation performed on the biliary tract.
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