Villous adenoma involving the ampulla of Vater: treatment by submucosal resection and double sphincteroplasty.
An asymptomatic patient presented with a rare case of duodenal villous adenoma with malignant transformation involving the ampulla of Vater. The tumor involved a portion of the distal common bile duct and pancreatic duct. Pancreatic and biliary outflow were reconstructed using a double sphincteroplasty technique after wide submucosal resection of the tumor.
D000236:Adenoma / Q000000981:diagnostic imaging / Q000601:surgery*; D014670:Ampulla of Vater; D003138:Common Bile Duct Neoplasms / Q000000981:diagnostic imaging / Q000601:surgery*; D006801:Humans; D008297:Male; D008875:Middle Aged; D010183:Pancreatic Ducts; D010190:Pancreatic Neoplasms / Q000601:surgery; D011859:Radiography