| Affiliation: | Akira Kanamori, Takashi Kumada, Seiki Kiriyama, Yasuhiro Sone, Makoto Tanikawa, Yasuhiro Hisanaga, Hidenori Toyoda, Department of Gastroenterology, Ogaki Municipal Hospital, Ogaki 503-8502, JapanHiroki Kawashima, Akihiro Itoh, Hidemi Goto, Department of Gastroenterology, Nagoya University Graduate School of Medicine, Nagoya 466-8560, JapanYoshiki Hirooka, Hidemi Goto, Department of Endoscopy, Nagoya University Hospital, Nagoya 466-8560, Japan |
| Abstract: | Tumors of the minor papilla of the duodenum are quite rare. We successfully and safely treated an 18-mm adenoma of the minor papilla associated with pancreas divisum using endoscopic papillectomy. A 64-year-old man was admitted to our hospital for treatment of an asymptomatic mass in the minor papilla detected by upper gastrointestinal endoscopy. Endscopic analysis showed an 18-mm, whitish, sessile mass, located in the duodenum proximal to a normal-appearing major papilla. Endoscopic retrograde pancreatography did not reveal the pancreatic duct. Magnetic resonance cholangiopancreatography showed a lack of the ventral pancreatic duct. We suspected this case was associated with pancreatic divisum;therefore, we performed endoscopic papillectomy of the minor papilla tumor. Subsequently, endoscopic pancreatic stent placement in the minor papilla was done to prevent drainage disturbance. The patient has been asymptomatic without recurrence of tumor or stenosis of the Santorini orifice upon endoscopic examination for the past 2 years. |
