Díaz GJJ, Martinez NN, German OC, Delgado FJC

Language: Spanish
References: 0
Page: 177-186
PDF size: 456.69 Kb.

ABSTRACT

Introduction: ampulloma is a tumor originated in the papilla of Vater. In a standard Whipple procedure, the surgeon removes the head from the pancreas, gallbladder, part of the duodenum, a small part of the stomach and the lymph nodes near the head of the pancreas.
Case report: a 68-year-old, male, white race patient came to the doctor on duty presenting abdominal pain for 3 months, accompanied by vomiting. Esophagogastroduodenoscopy was performed showing in the duodenum that the mucosa at the level of the ampoule of Vater presented a vegetative, friable, irregular lesion. A sample was taken for biopsy, which showed infiltration of the duodenal wall of adenocarcinoma. The patient underwent surgery using the Whipple technique. There were no complications of interest and it took ten days of postoperative stay.
Conclusion: although it is an uncommon pathology, the ampulloma must be suspected in the daily practice of the general surgeon in relation to a biliary or digestive pathology, as a diagnostic probability suggested by a torpid evolution or an aggressive course of an obstructive disease in absence of lithiasis in the biliary duct.