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KMID : 0359020070340030170
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Korean Journal of Gastrointestinal Endoscopy
2007 Volume.34 No. 3 p.170 ~ p.173
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Two Cases of Double Papilla of Vater
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Joo Kwang-Ro
Shin Hyun-Phil
Kim Hyun-Jeong
Cha Jae-Myung
Park Jong-Beom
Lee Joung-Il
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Abstract
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The Vaterian system consists of the common bile duct and the duct of Wirsung as they conjoin at the level of the duodenum, forming the major papilla of Vater. A double papilla of Vater with separate openings that form the bile duct and the pancreatic duct is a rare anatomic anomaly, which is observed in 0.18% of patients during endoscopic retrograde cholangiopancreatography. When a double papilla is noted, the additional problem is to determine if it is an anatomic variant or a choledochoduodenal fistula. We report two cases of a double papilla; one was associated with choledocholithiasis, and the other was identified incidentally during screening upper gastrointestinal endoscopy. (Korean J Gastrointest Endosc 2007;34:170?173)
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KEYWORD
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Ampulla of Vater, Abnormalities, Choledochoduodenal fistula
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