A case of relapsing panceratitis due to adenoma of the papilla of vater

Abstract

A 81-year-old female complaining with epigastralgia was referred to our hospital. She was recognized a rise of pancreatic enzyme in peripheral blood examination. Abdominal CT and MRI showed the tumor in the second part of the duodenum with mild pancreatitis. Endoscopically the protruding lesion of duodnum was growthed with irregular surface.
Surgicl specimen showed the tumor in papilla of Vater of 2.5×1.5cm in size with shortneck.
Histopathologic diagnosis was adenoma occupying the common channel. Adenoma of the papilla of Vater seems to be responsible for relapsing pancreatitis in this case.