Tumors of the minor papilla of the duodenum are quite rare.We successfully and safely treated an 18-mm adenoma of the minor papilla associated with pancreas divisum using endoscopic papillectomy.A 64-year-old man was ...Tumors of the minor papilla of the duodenum are quite rare.We successfully and safely treated an 18-mm adenoma of the minor papilla associated with pancreas divisum using endoscopic papillectomy.A 64-year-old man was admitted to our hospital for treatment of an asymptomatic mass in the minor papilla detected by upper gastrointestinal endoscopy.Endscopic analysis showed an 18-mm,whitish,sessile mass,located in the duodenum proximal to a normal-appearing major papilla.Endoscopic retrograde pancreatography did not reveal the pancreatic duct.Magnetic resonance cholangiopancreatography showed a lack of the ventral pancreatic duct.We suspected this case was associated with pancreatic divisum;therefore,we performed endoscopic papillectomy of the minor papilla tumor.Subsequently,endoscopic pancreatic stent placement in the minor papilla was done to prevent drainage disturbance.The patient has been asymptomatic without recurrence of tumor or stenosis of the Santorini orifice upon endoscopic examination for the past 2 years.展开更多
Nasally ectopic teeth are rare, but can be a source of significant morbidity. Symptoms can include facial pain, nasolacrimal duct obstruction, fungal rhinitis, persistent rhinorrhea and episodic epistaxis. A nasally e...Nasally ectopic teeth are rare, but can be a source of significant morbidity. Symptoms can include facial pain, nasolacrimal duct obstruction, fungal rhinitis, persistent rhinorrhea and episodic epistaxis. A nasally ectopic tooth should be considered as a differential diagnosis for a radiopaque lesion within the nasal cavity. This case illustrates the diagnosis and subsequent minimally traumatic recovery of a nasally ectopic tooth, believed to be an upper first premolar tooth, via an endoscopic approach.展开更多
文摘Tumors of the minor papilla of the duodenum are quite rare.We successfully and safely treated an 18-mm adenoma of the minor papilla associated with pancreas divisum using endoscopic papillectomy.A 64-year-old man was admitted to our hospital for treatment of an asymptomatic mass in the minor papilla detected by upper gastrointestinal endoscopy.Endscopic analysis showed an 18-mm,whitish,sessile mass,located in the duodenum proximal to a normal-appearing major papilla.Endoscopic retrograde pancreatography did not reveal the pancreatic duct.Magnetic resonance cholangiopancreatography showed a lack of the ventral pancreatic duct.We suspected this case was associated with pancreatic divisum;therefore,we performed endoscopic papillectomy of the minor papilla tumor.Subsequently,endoscopic pancreatic stent placement in the minor papilla was done to prevent drainage disturbance.The patient has been asymptomatic without recurrence of tumor or stenosis of the Santorini orifice upon endoscopic examination for the past 2 years.
文摘Nasally ectopic teeth are rare, but can be a source of significant morbidity. Symptoms can include facial pain, nasolacrimal duct obstruction, fungal rhinitis, persistent rhinorrhea and episodic epistaxis. A nasally ectopic tooth should be considered as a differential diagnosis for a radiopaque lesion within the nasal cavity. This case illustrates the diagnosis and subsequent minimally traumatic recovery of a nasally ectopic tooth, believed to be an upper first premolar tooth, via an endoscopic approach.
