Double Papilla of Vater: A Rare Anatomic Anomaly Observed in Endoscopic Retrograde Cholangiopancreatography

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Abstract

Summary:

A double papilla of Vater, with separate openings for the bile duct and the pancreatic duct, is a rare anatomic anomaly observed in endoscopic retrograde cholangiopancreatography (ERCP). We report the case of a 45-year-old Chinese man with obstructive jaundice due to common bile duct stones and gallbladder stones. During ERCP, a double papilla of Vater with separate drainage for the bile duct and the pancreatic duct was observed. As the anatomy was unusual, no sphincterotomy was performed, but a biliary stent was inserted. Subsequently, the patient underwent cholecystectomy and exploration of the common bile duct. On the 15th postoperative day, he was asymptomatic and was discharged.

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