Korean J Gastrointest Endosc.  2007 Mar;34(3):170-173.

Two Cases of Double Papilla of Vater

  • 1Department of Internal Medicine, Kyung Hee University College of Medicine, Seoul, Korea. krjoo@khu.ac.kr


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.


Ampulla of Vater; Abnormalities; Choledochoduodenal fistula
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