Korean J Med.  2000 Aug;59(2):220-224.

A Case of carcinoid tumor of ampulla of vater presenting as asthmatic symptoms

Affiliations
  • 1Department of Internal Medicine, Dankook University College of Medicine, Chunan, Korea.
  • 2Department of Pathology, Dankook University College of Medicine, Chunan, Korea.
  • 3Department of General Surgery, Dankook University College of Medicine, Chunan, Korea.

Abstract

The carcinoid tumor of the ampulla of Vater is extremely rare. We report a case of 57-year old male with carcinoid tumor of ampulla of Vater. This patient had been presented with bronchial asthma for one year. Abdominal CT finding revealed diffuse dilatation of common bile duct and pancreatic duct, and also ampullary soft mass protruded into duodenal lumen. The correct diagnosis was made preoperatively by endoscopic retrograde cholangiography with biopsy. Pancreatico- duodenectomy with lymph nodes dissection was performed. Malignant carcinoid tumor originating from ampulla of Vater was diagnosed with pericholedochal lymphatic metastasis. Surgical removal led to complete resolution of asthmatic symptoms.

Keyword

Peroxisome proliferator activated receptor gamma; Diabetes mellitus; non-insulin- dependent; Obesity; Hyperlipidemiai; Insulin resistance; Polymerase chain reaction; Polymorphism; Restriction fragment length

MeSH Terms

Ampulla of Vater*
Asthma
Biopsy
Carcinoid Tumor*
Cholangiography
Common Bile Duct
Diabetes Mellitus
Diagnosis
Dilatation
Humans
Insulin Resistance
Lymph Nodes
Lymphatic Metastasis
Male
Middle Aged
Obesity
Pancreatic Ducts
Polymerase Chain Reaction
PPAR gamma
Tomography, X-Ray Computed
PPAR gamma
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