MAN 50 YO, ONE MONTH AGO, PAIN AT RUQ AREA, FEVER AND JAUNDICE PROGRESSING. ULTRASOUND AT FIRST DETECTED THE GALL BLADDER TOO BIG, NO STONE AND DILATED CBD with DIAMETER OF 2.6 CM, WITH PENCIL SIGN AT ODDI AMPULA. [SEE 3 ULTRASOUND IMAGES].
MDCT OF ABDOMEN WITH CE SHOWED ODDI AMPULA HAVING A MASS WITH CE (SEE 2 CT IMAGES).
ERCP was done and detected ampular tumor. Biopsy was performed and left a stent for biliary decompression.
Microscopic report from biopsy is adenocarcimoma of Vater ampulla tumor.
Reference: January 1993 Buck and Elsayed, RadioGraphics.
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