Adenocarcinoma of Ampulla of Vater Presented as Recurrent Jaundice

  • Sunil Vitthalrao Jagtap Dept of Pathology, KIMS, University, Karad. Maharashtra, India
  • Cyrus Dhara Jokhi Dept of Pathology, KIMS, University, Karad. Maharashtra, India
  • Digvijay Patil Dept of Pathology, KIMS, University, Karad. Maharashtra, India
  • Swati S Jagtap Dept of Pathology, KIMS, University, Karad. Maharashtra, India
Keywords: Ampullary carcinoma, Pancreatico-biliary tract neoplasm, histopathology

Abstract

Background Ampullary carcinoma are relatively uncommon neoplasm which approximately seen in  0.2% of gastrointestinal carcinomas. Clinically these patient generally present at an earlier stage of the disease. As their strategic location may cause early biliary obstruction. Case history A 70 year old male patient was presented with history of pain in abdomen, anorexia and repeated history of  jaundice. On ultrasonography and  CT scan abdomen-pelvis showed proliferative growth at periampullary area suggestive of ampullary malignancy.  Associated cholelithiasis was noted. Patient underwent surgical treatment of pancreaticoduodenectomy with cholecystectomy. On histopathology revealed moderately differentiated intestinal type of adenocarcinoma of ampulla of Vater, Grade II. Conclusion  We are presenting this uncommon neoplasm for its rarity, recently distinguished subtype on histopathology, clinical behavior and radiological findings.

Author Biographies

Sunil Vitthalrao Jagtap, Dept of Pathology, KIMS, University, Karad. Maharashtra, India
Professor, Dept of Pathology,  KIMS, University, Karad. Maharashtra, India
Cyrus Dhara Jokhi, Dept of Pathology, KIMS, University, Karad. Maharashtra, India
Dept of Pathology,  KIMS, University, Karad. Maharashtra, India
Digvijay Patil, Dept of Pathology, KIMS, University, Karad. Maharashtra, India
Dept of Pathology,  KIMS, University, Karad. Maharashtra, India
Swati S Jagtap, Dept of Pathology, KIMS, University, Karad. Maharashtra, India
Physiology, Asso professor

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Published
2018-06-17
Section
Case Report