Korean Journal of Gastrointestinal Endoscopy 2007;34(3): 170-173.
중복 파터 유두 2예
주광로·신현필·김현정·차재명·박종범·이정일
경희대학교 의과대학 내과학교실
Two Cases of Double Papilla of Vater
Kwang Ro Joo, M.D., Hyun Phil Shin, M.D., Hyun Jeong Kim, M.D., Jae Myung Cha, M.D., Jong Beom Park, M.D. and Joung Il Lee, M.D.
Department of Internal Medicine, Kyung Hee University College of Medicine, Seoul, Korea
Abstract
The Vaterian system consists of the common bile duct and the duct of Wirsung as they conjoin at the level of the duodenum, forming the major papilla of Vater. A double papilla of Vater with separate openings that form the bile duct and the pancreatic duct is a rare anatomic anomaly, which is observed in 0.18% of patients during endoscopic retrograde cholangiopancreatography. When a double papilla is noted, the additional problem is to determine if it is an anatomic variant or a choledochoduodenal fistula. We report two cases of a double papilla; one was associated with choledocholithiasis, and the other was identified incidentally during screening upper gastrointestinal endoscopy. (Korean J Gastrointest Endosc 2007;34:170173)
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