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Review
. 2007 Feb 28;13(8):1268-70.
doi: 10.3748/wjg.v13.i8.1268.

Endoscopic resection of an ampullary carcinoid presenting with upper gastrointestinal bleeding: a case report and review of the literature

Nooman Gilani  1 , Francisco C Ramirez
Affiliations
Review

Endoscopic resection of an ampullary carcinoid presenting with upper gastrointestinal bleeding: a case report and review of the literature

Nooman Gilani et al. World J Gastroenterol. .

Abstract

Ampullary carcinoid is a rare tumor that can present with gastrointestinal bleeding, obstructive jaundice or pancreatitis. Some of these tumors are associated with Von Recklinghausen disease. The usual surgical options are a biliary-enteric anastomosis, Whipple procedure or rarely a local resection. The mean survival does not appear to be much different after a pancreaticoduodenectomy versus local surgical excision. We report a very rare case of a non-metastatic ampullary carcinoid causing upper gastrointestinal bleeding, which was managed by endoscopic ampullectomy.

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Figures

Figure 1
Figure 1
Endoscopic view showing an ampullary tumor (A) and the same area weeks after endoscopic resection of the tumor (B).
Figure 2
Figure 2
Histological examination of the resected specimen revealing carcinoid in the mucosa and submucosa, composed of discrete solid nests of round tumor cells with central nuclei and occasionally with gland-like lumina (A) and solid nests of tumor cells involving the musclaris propria (B) (HE, x 100).
See this image and copyright information in PMC

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