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Adenoma viloso da ampola de Vater

Ampolla of Vater's benign villous adenoma

Resumo

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.

Ampulla of Vater; Adenoma; Duodenum neoplasm


Ampulla of Vater; Adenoma; Duodenum neoplasm

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

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.

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.

  • 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.
  • 2. Brandes JL, Sharp KW. Local resection of tumors of the ampulla of Valer. Am Surg 1990;56(4):2 14-7.
  • 3. Browder W, Gray G. Villous tumors of the ampulla of Vater: local resection versus pancreatoduodenectomy. South Med J 1989; 82 (7):917-20.
  • 4. Ryan OP, Schapiro RH, Warshaw AL. Villous tumors of the duodenum. Ann Surg 1986;203(3):301-6.
  • 5. Pyertek LJ, Rosenberg J, Towbridge P, et al. Benign villous adenoma of lhe ampulla of Vater. Cancer 1986; 58: 1.563-8.
  • Endereço para correspondência:

    Dr. Julio C. Wiederkehr
    Travessa Rafael F. Greca, 120/601
    80620-150 - Curitiba-PR
  • Datas de Publicação

    • Publicação nesta coleção
      31 Maio 2010
    • Data do Fascículo
      Dez 1998

    Histórico

    • Aceito
      05 Out 1998
    • Recebido
      08 Jun 1998
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