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Revista do Colégio Brasileiro de Cirurgiões

Print version ISSN 0100-6991

Rev. Col. Bras. Cir. vol.25 no.6 Rio de Janeiro Nov./Dec. 1998

http://dx.doi.org/10.1590/S0100-69911998000600015 

RELATOS DE CASOS

 

Adenoma viloso da ampola de Vater

 

Ampolla of Vater's benign villous adenoma

 

 

Julio Cesar Wiederkehr, TCBC-PRI; Julio Cezar Uili Coelho, TCBC-PRII; Marcos Fabiano SigwaltIII; Aissar Eduardo NassifIV

IProfessor Adjunto da Disciplina de Cirurgia do Aparelho Digestivo - UFPR
IIProfessor Titular da Disciplina de Cirurgia do Aparelho Digestivo - UFPR
IIIMédico Residente em Cirurgia do Aparelho Digestivo do Hospital de Clínicas da UFPR
IVAcadêmico do 6º ano da Faculdade de Medicina da UFPR

Endereço para correspondência

 

 


ABSTRACT

The aim of this paper is to present a case of a 37-year-old female patient with a benign tumor of the Ampulla of Vater and a brief review of the literature. The patient presented with progressive obstructive jaundice and weigth loss due to the presence of two adenomas of the second portion of duodenum. Laboratory tests confirmed the presence of obstruction of the biliary tree. Ultrasound and CT scan of the abdomen revealed bile duct dilatation. ERCP showed a tumor at the site of the Ampulla of Vater. The biopsies revealed tubular adenoma. She was submitted to local resection of the tumors and sphincteroplasty, since the frozen biopsy at the time of surgery showed no malignancy. During the post-operative follow-up she presented recurrence of symptoms. An upper GI endoscopy revealed a tumor at the Ampulla of Vater. She was then submitted to Whipple procedure with an uneventful recovery.

Key words: Ampulla of Vater; Adenoma; Duodenum neoplasm.


 

 

Texto completo disponível apenas em PDF.

Full text available only in PDF format.

 

 

REFERÊNCIAS

1. Alves Júnior A, Costa OM, Couto MJAA, et al. Adenoma viloso de ampola de Valer. Rev Hosp Clin Med S Paulo 1994;49(6): 256-8.         [ Links ]

2. Brandes JL, Sharp KW. Local resection of tumors of the ampulla of Valer. Am Surg 1990;56(4):2 14-7.         [ Links ]

3. Browder W, Gray G. Villous tumors of the ampulla of Vater: local resection versus pancreatoduodenectomy. South Med J 1989; 82 (7):917-20.         [ Links ]

4. Ryan OP, Schapiro RH, Warshaw AL. Villous tumors of the duodenum. Ann Surg 1986;203(3):301-6.         [ Links ]

5. Pyertek LJ, Rosenberg J, Towbridge P, et al. Benign villous adenoma of lhe ampulla of Vater. Cancer 1986; 58: 1.563-8.         [ Links ]

 

 

Endereço para correspondência:
Dr. Julio C. Wiederkehr
Travessa Rafael F. Greca, 120/601
80620-150 - Curitiba-PR

Recebido em 8/6/98
Aceito para publicação em 5/10/98

 

 

Trabalho realizado na Disciplina de Cirurgia do Aparelho Digestivo do Hospital de Clínicas da Universidade Federal do Paraná - UFPR.

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