title: Double papilla of Vater: a rare anatomic anomaly observed in endoscopic retrograde cholangiopancreatography.
abstract: A double papilla of Vater, with separate openings for the bile duct and the pancreatic duct, is a rare anatomic anomaly observed in endoscopic retrograde cholangiopancreatography (ERCP). We report the case of a 45-year-old Chinese man with obstructive jaundice due to common bile duct stones and gallbladder stones. During ERCP, a double papilla of Vater with separate drainage for the bile duct and the pancreatic duct was observed. As the anatomy was unusual, no sphincterotomy was performed, but a biliary stent was inserted. Subsequently, the patient underwent cholecystectomy and exploration of the common bile duct. On the 15th postoperative day, he was asymptomatic and was discharged. Common bile duct-Pancreatic duct.
authors.affiliation: Department of Surgery, National University Hospital, Singapore.
authors.forename: A
authors.initials: A
authors.lastname: Rajnakova
authors.forename: W T
authors.initials: WT
authors.lastname: Tan
authors.forename: P M
authors.initials: PM
authors.lastname: Goh
mesh_terms: D014670:Ampulla of Vater / Q000002:abnormalities*; D002760:Cholangiopancreatography, Endoscopic Retrograde; D002769:Cholelithiasis / Q000150:complications / Q000628:therapy; D002779:Cholestasis / Q000209:etiology; D042882:Gallstones / Q000150:complications / Q000628:therapy; D006801:Humans; D008297:Male; D008875:Middle Aged