Endoscopic resection of an ampullary carcinoid presenting with upper gastrointestinal bleeding: a case report and review of the literature.
Ampullary carcinoid is a rare tumor that can present with gastrointestinal bleeding, obstructive jaundice or pancreatitis. Some of these tumors are associated with Von Recklinghausen disease. The usual surgical options are a biliary-enteric anastomosis, Whipple procedure or rarely a local resection. The mean survival does not appear to be much different after a pancreaticoduodenectomy versus local surgical excision. We report a very rare case of a non-metastatic ampullary carcinoid causing upper gastrointestinal bleeding, which was managed by endoscopic ampullectomy.
Gilani
Nooman
N
Department of Medicine and Research, Gastroenterology Section, Carl. T. Hayden Veterans Administration Medical Center, Phoenix, AZ 85012, USA. ngilani@pol.net
Ramirez
Francisco C
FC
D000368:Aged; D014670:Ampulla of Vater / Q000473:pathology / Q000601:surgery*; D002276:Carcinoid Tumor / Q000150:complications / Q000175:diagnosis / Q000601:surgery*; D003138:Common Bile Duct Neoplasms / Q000150:complications / Q000175:diagnosis / Q000601:surgery*; D016145:Endoscopy, Digestive System; D006471:Gastrointestinal Hemorrhage / Q000209:etiology*; D006801:Humans; D008297:Male