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Case Reports
. 2021 May 12;29(3):212-214.
doi: 10.1159/000516007. eCollection 2022 May.

Recurrent Acute Pancreatitis with a Bulging Papilla: An Unexpected Diagnosis

Marta Moreira  1 , João Fernandes  1 , Tarcísio Araújo  1 , Richard Azevedo  1 , Jorge Canena  2   3 , Luis Lopes  1   4   5
Affiliations
Case Reports

Recurrent Acute Pancreatitis with a Bulging Papilla: An Unexpected Diagnosis

Marta Moreira et al. GE Port J Gastroenterol. .
No abstract available

Keywords: Bile duct adenoma; Bulging papilla; Recurrent acute pancreatitis.

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Conflict of interest statement

The authors have no conflicts of interest to declare.

Figures

Fig. 1
Fig. 1
Echoendoscopic image showing a 15 × 10 mm isoechoic image in the distal CBD with a heterogeneous aspect without shadow cone.
Fig. 2
Fig. 2
ERCP images. a Endoscopic view showing a bulging papilla with normal overlying mucosa. b 20-mm filling defect in the distal CBD compatible with a biliary stone. c Biliary sweepage with a Dormia basket revealed a 20-mm villous polypoid lesion emanating from the bile duct into the duodenum.
Fig. 3
Fig. 3
Biopsy histology showing epithelium-coated papillae without atypia (HE, ×40).
See this image and copyright information in PMC

References

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    1. Čekas K, Rudaitis V, Beiša V, Jotautas V, Rutkauskaitė D, Meškauskas R, et al. Common bile duct villous adenoma: a case report and review of the literature. J Med Case Reports. 2016 Jan;10((1)):18. - PMC - PubMed
    1. Hacking CP, Taylor CJ, Nathanson LK. Common bile duct polyp mimicking choledocholithiasis: a case report with laparoscopic transcystic management. Surg Laparosc Endosc Percutan Tech. 2008 Jun;18((3)):290–3. - PubMed

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