An Ampulla of Vater Carcinoid Tumor that Presented with Upper Gastrointestinal Bleeding.
- Author:
Jae Serk PARK
1
;
Sung Jo BANG
;
Seok Won JUNG
;
Sung Ho KWON
;
Byung Chul KIM
;
Dong Ha HAN
;
Hyun Soo KIM
;
Young Min KIM
;
Chang Woo NAM
;
Do Ha KIM
Author Information
1. Department of Internal Medicine, University of Ulsan College of Medicine, Ulsan University Hospital, Ulsan, Korea. sjbang@uuh.ulsan.kr
- Publication Type:Case Report
- Keywords:
Ampulla of Vater;
Carcinoid tumor;
Upper gastrointestinal bleeding
- MeSH:
Ampulla of Vater*;
Biopsy;
Carcinoid Tumor*;
Diagnosis;
Gallbladder;
Hemorrhage*;
Jaundice;
Pancreaticoduodenectomy
- From:Korean Journal of Gastrointestinal Endoscopy
2007;35(6):420-423
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
A Carcinoid tumor of the ampulla of Vater is extremely rare, accounting for less than 0.3% of all gastrointestinal carcinoids. Most reported cases have arisen from the gallbladder. An ampullary carcinoid most commonly presents with jaundice or upper abdominal discomfort, and bleeding from the tumor is exceedingly rare. A diagnosis is most frequently made postoperatively due to submucosal spread of the tumor. As the metastatic potential cannot be predicted by tumor size, a Whipple pancreaticoduodenectomy rather than local excision is considered the treatment of choice. We herein report a case of a primary carcinoid tumor located at the ampulla of Vater that presented as gastrointestinal bleeding; the tumor was diagnosed by an endoscopic biopsy after a papillary sphinterotomy.
