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Pedunculated early carcinoma of supra-ampullary duodenum presenting as acute pancreatitis

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Summary

Background. A 43-yr-old man was admitted to our hospital after sudden onset of epigastric pain. He was diagnosed with acute pancreatitis by clinical, laboratory, and radiographic signs. Examinations for the etiology of acute pancreatitis revealed a duodenal tumor arising at the proximal portion of the descending limb, extending by a long stalk, and coming into contact with Vater’s papilla. The tumor was snare-resected endoscopically. Histological examination showed an early carcinoma. Extra-ampullary carcinoma of the duodenum should be considered an unusual cause of acute pancreatitis secondary to obstruction of the major duodenal papilla. Endoscopic polypectomy is effective because of the difficulty in making a precise diagnosis by endoscopic biopsy.

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Authors and Affiliations

  1. Department of Internal Medicine, Suma Red Cross Hospital, 654-0121, Kobe, Japan

    Yasuo Okamoto, Masatoshi Fujii, Shinpei Tateiwa, Toshiyuki Sakai, Fukashi Ochi, Masahiko Sugano, Kiyoshi Oshiro & Yoshinori Okabayashi

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  1. Yasuo Okamoto
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  2. Masatoshi Fujii
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  3. Shinpei Tateiwa
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  4. Toshiyuki Sakai
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  5. Fukashi Ochi
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  6. Masahiko Sugano
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  7. Kiyoshi Oshiro
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  8. Yoshinori Okabayashi
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Correspondence to Yoshinori Okabayashi.

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Okamoto, Y., Fujii, M., Tateiwa, S. et al. Pedunculated early carcinoma of supra-ampullary duodenum presenting as acute pancreatitis. Int J Gastrointest Canc 31, 185–189 (2002). https://doi.org/10.1385/IJGC:31:1-3:185

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  • DOI: https://doi.org/10.1385/IJGC:31:1-3:185

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