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Papilla of Vater: normal appearances.
Situated on the medial wall of the descending duodenum at the proximal end of a longitudinal fold, the typical normal papilla is an often granular nipple-like projection about 5mm in diameter. The apparent size, shape and prominence may vary greatly with papillary muscular activity. The circular valvulae conniventes are usually interrupted by the papilla.
Klaus F R Schiller, Roy Cockel, Richard Hunt, Bryan Warren. Atlas of Gastrointestinal Endoscopy and Related Pathology. Oxford: Blackwell Science, 2001.

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