Ampullary carcinoma complicating familial adenomatous polyposis.
A 68-year old female presented with acute pancreatitis which relapsed within 4 days. She had a history of a colectomy for familial adenomatous polyposis. ERCP revealed normal external appearances of the papilla. Cholangiography showed a filling defect in the distal CBD. Sphincterotomy was performed and a polypoid lesion prolapsed into the duodenum. Biopsies revealed an ampullary carcinoma.
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