Relapsing acute pancreatitis due to ampullary adenoma in a patient with familial adenomatous polyposis.
A patient with familial adenomatous polyposis (FAP) presented with a relapsing attack of acute pancreatitis. Evaluation using computed tomography, ultrasonography, and duodenoscopy revealed an ampullary adenoma, which was classified as Spigelman's stage III according to Spigelman's criteria. The patient underwent a pylorus-resected pancreatoduodenectomy, and has had no abdominal pain suggesting acute pancreatitis for 1 year after surgery. Only a few reports of acute pancreatitis due to ampullary neoplasms in patients with FAP are available. Relapsing acute pancreatitis is another surgical indication for premalignant periampullary neoplasms in FAP.
Murakami
Yoshiaki
Y
Department of Surgery, Division of Clinical Medical Science, Graduate School of Biomedical Sciences, Hiroshima University, Minami-ku, Hiroshima, 734-8551, Japan.
Uemura
Kenichiro
K
Hayashidani
Yasuo
Y
Sudo
Takeshi
T
Sueda
Taijiro
T
D000208:Acute Disease; D002759:Adenoma, Bile Duct / Q000150:complications* / Q000601:surgery; D011125:Adenomatous Polyposis Coli / Q000150:complications*; D000328:Adult; D014670:Ampulla of Vater; D003138:Common Bile Duct Neoplasms / Q000150:complications* / Q000601:surgery; D005260:Female; D006801:Humans; D016577:Pancreaticoduodenectomy; D010195:Pancreatitis / Q000209:etiology* / Q000601:surgery; D012008:Recurrence