PANCREATIC CANCER NOTICED BY BLEEDING FROM THE ORIFICE OF THE MAJOR PAPILLA : REPORT OF A CASE

Abstract

A 67-year-old woman was admitted to our hospital because of bleeding from the orifice of the major papilla. Abdominal US and CT taken after admission revealed tumor in the pancreatic head. Endoscopic retrograde cholagiopancreatography showed the stenosis of the main pancreatic duct and the dilataition and tortuosity of the accesory pancreatic duct. Cmmon bile duct was normal. Cytology of the pancreatic juice was class IV. We diagnosed pancreatic cancer. Pancreatic cancer with bleeding from the orifice of major papillais is very rare. Only 1 case have, to our knowledge, been reported on the Japanese literature.