title: Ampullary carcinoid tumour presenting with extrahepatic biliary obstruction.
abstract: Carcinoid tumours are slow growing tumours, derived from enterochromaffin cells located in the crypts of Lieberkühn, which is part of neuroendocrine system. A 36-year-old female patient presented in surgical clinic with complaints of progressively increasing yellowish discolouration of her eyes and pruritis for 6 months. She was deeply jaundiced with a soft and non-tender abdomen. Diagnostic work-up revealed obstructive jaundice secondary to ampullary growth, while computed tomography revealed a small intraluminal lower common bile duct mass. Endoscopic ultrasound showed thickened duodenum at ampulla of Vater. Pancreaticoduodenectomy (Whipple's procedure) with pancreaticojejunostomy, hepaticojejunostomy and gastrojejunostomy was done. Pathological examination of the resected specimen revealed carcinoid tumour. Postoperative course of patient was unremarkable and she is doing well after surgery.
authors.affiliation: Surgical Unit-I, Holy Family Hospital, Rawalpindi, Pakistan.
authors.forename: Muhammad Salman
authors.initials: MS
authors.lastname: Shafique
authors.affiliation: Surgical Unit-I, Holy Family Hospital, Rawalpindi, Pakistan.
authors.forename: Muhammad
authors.initials: M
authors.lastname: Fahim
authors.affiliation: Surgical Unit-I, Holy Family Hospital, Rawalpindi, Pakistan.
authors.forename: Saadiah Tasnim
authors.initials: ST
authors.lastname: Shahbaz Bhatti
authors.affiliation: Surgical Unit-I, Holy Family Hospital, Rawalpindi, Pakistan.
authors.forename: Jahangir Sarwar
authors.initials: JS
authors.lastname: Khan
authors.affiliation: Surgical Unit-I, Holy Family Hospital, Rawalpindi, Pakistan.
authors.forename: Muahmmad Mussadiq
authors.initials: MM
authors.lastname: Khan
mesh_terms: D000328:Adult; D014670:Ampulla of Vater / Q000473:pathology*; D002276:Carcinoid Tumor / Q000150:complications* / Q000473:pathology; D001651:Cholestasis, Extrahepatic / Q000209:etiology*; D003138:Common Bile Duct Neoplasms / Q000150:complications* / Q000473:pathology; D005260:Female; D006801:Humans
keywords: Ampulla of vater, Extrahepatic biliary obstruction, Carcinoid tumour, Pancreaticoduodenectomy, Endoscopic ultrasound.