幽门部异位的 Vater 乳头伴胆管炎：一例报告并文献复习

Ectopic papilla of Vater in the pylorus presenting with cholangitis: A case report with literature review.

作者信息

Alkarboly Taha, Gharib Dana T, Salih Karzan M, Mustafa Shevan M, Salih Abdulwahid M, Kakamad Fahmi H

机构信息

College of Medicine, University of Sulaimani, Madam Mitterrand Street, Sulaimani, Kurdistan, Iraq.

Kurdistan Center for Gastroenterology and Hepatology, Sulaimani, Kurdistan, iraq; Smart Health Tower, Madam Mitterrand Street, Sulaimani, Kurdistan, Iraq.

出版信息

Int J Surg Case Rep. 2022 Apr;93:106887. doi: 10.1016/j.ijscr.2022.106887. Epub 2022 Mar 1.

DOI:10.1016/j.ijscr.2022.106887

PMID:35305424

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8928074/

Abstract

INTRODUCTION

The papilla of Vater is situated in the second part of the duodenum. The current study aims to report a rare occurrence of an ectopic papilla of Vater in the pyloric region presenting with cholangitis.

CASE REPORT

A 59-year-old male patient presented with right upper quadrant pain, anorexia, nausea, and jaundice. He was feverish and exhibited tenderness in the right upper quadrant. Endoscopic retrograde cholangiopancreatography revealed an ectopic papilla of Vater on the pyloric canal. A gastroscope was used instead of a duodenoscope for better visibility of the opening, easier cannulation, and a less risky sphincterotomy. He returned one year after his last procedure with no symptoms and no recurrence of acute cholangitis.

DISCUSSION

It has been suggested that developmental defects are acquired during embryogenesis. If subdivision happens early in embryogenesis, leaving the pars hepatica above the zone of proliferation that divides the stomach from the duodenum, the pars hepatica will develop into a duct that empties into the pylorus area.

CONCLUSION

It is preferable to use a gastroscope rather than a duodenoscope to visualize and manipulate the common bile duct in the case of an ectopic papilla of Vater in the pylorus.

摘要