TY - JOUR
T1 - Endoscopic papillectomy of minor papillar adenoma associated with pancreas divisum
AU - Kanamori, Akira
AU - Kumada, Takashi
AU - Kiriyama, Seiki
AU - Sone, Yasuhiro
AU - Tanikawa, Makoto
AU - Hisanaga, Yasuhiro
AU - Toyoda, Hidenori
AU - Kwashima, Hiroki
AU - Itoh, Akihiro
AU - Hirooka, Yoshiki
AU - Goto, Hidemi
PY - 2009/3/7
Y1 - 2009/3/7
N2 - Tumors of the minor papilla of the duodenum are quite rare. We successfully and safely treated an 18-mm adenoma of the minor papilla associated with pancreas divisum using endoscopic papillectomy. A 64-year-old man was admitted to our hospital for treatment of an asymptomatic mass in the minor papilla detected by upper gastrointestinal endoscopy. Endscopic analysis showed an 18-mm, whitish, sessile mass, located in the duodenum proximal to a normal-appearing major papilla. Endoscopic retrograde pancreatography did not reveal the pancreatic duct. Magnetic resonance cholangiopancreatography showed a lack of the ventral pancreatic duct. We suspected this case was associated with pancreatic divisum; therefore, we performed endoscopic papillectomy of the minor papilla tumor. Subsequently, endoscopic pancreatic stent placement in the minor papilla was done to prevent drainage disturbance. The patient has been asymptomatic without recurrence of tumor or stenosis of the Santorini orifice upon endoscopic examination for the past 2 years.
AB - Tumors of the minor papilla of the duodenum are quite rare. We successfully and safely treated an 18-mm adenoma of the minor papilla associated with pancreas divisum using endoscopic papillectomy. A 64-year-old man was admitted to our hospital for treatment of an asymptomatic mass in the minor papilla detected by upper gastrointestinal endoscopy. Endscopic analysis showed an 18-mm, whitish, sessile mass, located in the duodenum proximal to a normal-appearing major papilla. Endoscopic retrograde pancreatography did not reveal the pancreatic duct. Magnetic resonance cholangiopancreatography showed a lack of the ventral pancreatic duct. We suspected this case was associated with pancreatic divisum; therefore, we performed endoscopic papillectomy of the minor papilla tumor. Subsequently, endoscopic pancreatic stent placement in the minor papilla was done to prevent drainage disturbance. The patient has been asymptomatic without recurrence of tumor or stenosis of the Santorini orifice upon endoscopic examination for the past 2 years.
KW - Endoscopic pancreatic stent
KW - Endoscopic retrograde pancreatography
KW - Endscopic papillectomy
KW - Minor papillaradenoma
KW - Pancreas divisum
UR - http://www.scopus.com/inward/record.url?scp=65549085316&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=65549085316&partnerID=8YFLogxK
U2 - 10.3748/wjg.15.1138
DO - 10.3748/wjg.15.1138
M3 - Article
C2 - 19266610
AN - SCOPUS:65549085316
SN - 1007-9327
VL - 15
SP - 1138
EP - 1140
JO - World Journal of Gastroenterology
JF - World Journal of Gastroenterology
IS - 9
ER -