[A case of tubercular papillitis of Vater].
A 47-year-old man presented with an abnormality of the duodenum detected on a health check endoscopy. Further endoscopy revealed swelling of the papilla of Vater with a whitish exudate and surrounding small nodules, which biopsy revealed to be non-caseating granulomas. Colonoscopy showed typical tubercular lesions in the colon on the right side, so we speculated that the lesions of the papilla of Vater were tubercular. After the administration of anti-tubercular drugs, both the duodenal lesion and the colonic lesions improved. Therefore, the papilla of Vater lesion was diagnosed as tubercular, although such cases are extremely rare.
Yamane
Tateki
T
Division of Gastroenterology, Department of Internal Medicine, International University of Health and Welfare, Shioya Hospital. yamane@iuhw.ac.jp
Akiyama
Sunao
S
Ishii
Takayuki
T
Furuya
Toru
T
Uchiyama
Kan
K
Nakano
Masataka
M
Fukamachi
Shinsuke
S
Asakage
Naoki
N
Suwa
Tatsushi
T
Asabe
Shinichi
S
D014670:Ampulla of Vater; D002761:Cholangitis / Q000175:diagnosis*; D004382:Duodenitis / Q000175:diagnosis*; D006801:Humans; D008297:Male; D008875:Middle Aged; D014376:Tuberculosis / Q000175:diagnosis*; D014385:Tuberculosis, Gastrointestinal / Q000175:diagnosis*