A Case of carcinoid tumor of ampulla of vater presenting as asthmatic symptoms.
- Author:
Sok Kyun HONG
1
;
Im Hwan ROE
;
Myung In LEE
;
Sang Hyun PARK
;
Jeung Hee CHO
;
Jung Taik KIM
Author Information
1. Department of Internal Medicine, Dankook University College of Medicine, Chunan, Korea.
- Publication Type:Case Report
- Keywords:
Peroxisome proliferator activated receptor gamma;
Diabetes mellitus;
non-insulin- dependent;
Obesity;
Hyperlipidemiai;
Insulin resistance;
Polymerase chain reaction;
Polymorphism;
Restriction fragment length
- MeSH:
Ampulla of Vater*;
Asthma;
Biopsy;
Carcinoid Tumor*;
Cholangiography;
Common Bile Duct;
Diabetes Mellitus;
Diagnosis;
Dilatation;
Humans;
Insulin Resistance;
Lymph Nodes;
Lymphatic Metastasis;
Male;
Middle Aged;
Obesity;
Pancreatic Ducts;
Polymerase Chain Reaction;
PPAR gamma;
Tomography, X-Ray Computed
- From:Korean Journal of Medicine
2000;59(2):220-224
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
The carcinoid tumor of the ampulla of Vater is extremely rare. We report a case of 57-year old male with carcinoid tumor of ampulla of Vater. This patient had been presented with bronchial asthma for one year. Abdominal CT finding revealed diffuse dilatation of common bile duct and pancreatic duct, and also ampullary soft mass protruded into duodenal lumen. The correct diagnosis was made preoperatively by endoscopic retrograde cholangiography with biopsy. Pancreatico- duodenectomy with lymph nodes dissection was performed. Malignant carcinoid tumor originating from ampulla of Vater was diagnosed with pericholedochal lymphatic metastasis. Surgical removal led to complete resolution of asthmatic symptoms.
