[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.
Division of Gastroenterology, Department of Internal Medicine, International University of Health and Welfare, Shioya Hospital. yamane@iuhw.ac.jp
Tateki
T
Yamane
Sunao
S
Akiyama
Takayuki
T
Ishii
Toru
T
Furuya
Kan
K
Uchiyama
Masataka
M
Nakano
Shinsuke
S
Fukamachi
Naoki
N
Asakage
Tatsushi
T
Suwa
Shinichi
S
Asabe
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*