article · Endoscopy
Results Case 1: Mrs A.E, aged 50, was admitted for liver colic. On clinical examination, BMI of 30kg/m2. Abdominal ultrasound showed bi-ductal dilatation upstream of a hypoechoic image measuring 12/8 mm in the ampulla of Vater. A CP-MRI showed dilation of the VBIH, the VBP, and the Wirsung on a probable lesion of the ampulla of Vater measuring 9/10 mm. EUS showed CPP and CBD measuring 6 mm and 9 mm respectively, an ampullary mass measuring 11 x 9 mm hypo echogenic classified uT1, cytopunction performed returned negative; Endoscopic resection carried out without complications with insertion of a 5FR/5cm pancreatic stent and preventive injection of adrenaline serum; histological examination of the specimen showed a mixed neuroendocrine and well-differentiated adenocarcinoma, with muscularis propria involvement; the patient was referred for Whipple surgery and died 5 days post-surgery consequentely to pancreatic fistula and infection.
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DOI: 10.1055/s-0044-1783468
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