Clin Endosc.  2016 Nov;49(6):575-578. 10.5946/ce.2016.043.

Acute Pancreatitis Following Endoscopic Ampullary Biopsies without Attempted Cannulation of the Ampulla of Vater

• Michopoulos S
• Kozompoli
• Ntai S
• Kalantzis
• Zampeli E
• Petraki K

• KMID: 2383456
• DOI: http://doi.org/10.5946/ce.2016.043

Abstract

A 51-year-old man underwent diagnostic work-up for an abnormal-appearing ampulla of Vater. Three hours after biopsy of the ampulla, the patient presented with intense symptoms suggesting acute pancreatitis, which was later confirmed with laboratory and radiographic examinations. Other causes were excluded and the acute pancreatitis was considered a procedural complication. This is a rarely reported complication that must be taken into consideration when biopsies are performed in the ampulla of Vater.

Keyword

Acute pancreatitis; Ampullary biopsies; Ampulla of Vater

MeSH Terms

Ampulla of Vater*
Biopsy*
Catheterization*
Humans
Middle Aged
Pancreatitis*

Figure

• 

  Fig. 1. Ampulla of Vater appearing mildly granular.

• 

  Fig. 2. (A, B) Portal phase of contrast-enhanced computed tomography of upper abdomen: stranding of retroperitoneal peripancreatic fat (arrows) and mild enlargement of pancreatic head (B, anteroposterior diameter 31 mm).

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