Endoscopic snare resection of an intrapapillary pedunculated villous adenoma presenting as acute recurrent pancreatitis

• Published in: Surgical endoscopy Vol. 18; no. 2; p. 347
• Main Authors: Katsinelos, P, Pilpilids, I, Paroutoglou, G, Tsolkas, P, Kotakidou, R, Panagiotopoulou, K, Galanis, I, Dimiropoulos, S, Kapelidis, P, Fotiadis, G, Georgiadou, E, Iliadis, A
• Format: Journal Article
• Language: English
• Published: Germany 01.02.2004
• Subjects: Acute Disease; Adenoma, Villous - complications; Adenoma, Villous - diagnostic imaging; Adenoma, Villous - surgery; Aged; Ampulla of Vater - diagnostic imaging; Ampulla of Vater - surgery; Cholangiopancreatography, Endoscopic Retrograde; Common Bile Duct Neoplasms - complications; Common Bile Duct Neoplasms - diagnostic imaging; Common Bile Duct Neoplasms - surgery; Female; Humans; Pancreatitis - etiology; Recurrence; Sphincterotomy, Endoscopic - methods
• ISSN: 0930-2794; 1432-2218
• DOI: 10.1007/s00464-003-4240-y

Tumors of the papillary region are an unusual and heterogeneous group of neoplasms that arise from the major papilla, the ampulla of Vater, and the peripapillary duodenum. Benign adenomas of the papilla of Vater are an increasingly recognized condition in those with familial adenomatous polyposis syndromes as well as sporadic cases. Papillary adenoma is a recognized but rare cause of acute pancreatitis. We describe a patient who presented with acute recurrent pancreatitis that was attributed to an intrapapillary pedunculated villous adenoma. Following diagnosis by endoscopic needle knife sphincterotomy and endoscopic retrograde cholangiopancreatography, endoscopic snare resection of the adenoma resulted in symptomatic improvement.