Double major papilla of Vater--a rare endoscopic finding during endoscopic retrograde cholangiopancreatography: a case report.
BACKGROUND
A double major papilla of Vater is a rare congenital anomaly with only three documented cases described in the literature.


METHODS
We report the case of a 19-year-old man, with chronic ulcerative pancolitis and congenital sphrerocytosis, who underwent endoscopic retrograde cholangiopancreatography because he had persistent elevation of liver enzymes and normal MRI cholangiography. During endoscopic retrograde cholangiopancreatography, a double papilla of Vater with separate drainage for the bile duct and the pancreatic duct was observed.


CONCLUSIONS
Endoscopic retrograde cholangiopancreatography showed normal pancreatogram and findings compatible with sclerosing cholangitis.
Katsinelos
Panagiotis
P
Department of Endoscopy and Motility Unit, G Gennimatas General Hospital, Thessaloniki, Greece. pk@yahoo.gr
Chatzimavroudis
Grigoris
G
Fasoulas
Kostas
K
Katsinelos
Taxiarchis
T
Pilpilidis
Ioannis
I
Lazaraki
Georgia
G
Terzoudis
Sotiris
S
Kokonis
George
G
Patsis
Ioannis
I
Zavos
Christos
C
Kountouras
Jannis
J