CONTEXT Dieulafoy's lesion is an unusual cause of gastrointestinal bleeding with the most common location being the stomach. A periampullary location is rare for a bleeding Dieulafoy's lesion. CASE REPORT We present the case of a 52-year-old female who presented with intermittent painless melena. Her upper gastrointestinal endoscopy and colonoscopy were normal. She was a diagnostic challenge ...

INTRODUCTION Duodenal diverticula are uncommon and usually asymptomatic. Complications like bleeding, perforation and biliary fistulae are rare. The management of a bleeding duodenal diverticulum can be challenging. With the improvement of endoscopic techniques, many of the cases reported in the literature were managed with endoscopic methods. We present a case report of bleeding duodenal diver...

Pancreatoduodenectomy (PD) offers the only option for cure in resectable, nonmetastatic pancreatic and periampullary cancer [1]. However, PD is technically challenging and fraught with a significant risk of morbidity and even mortality [2]. Obstructive jaundice is one of the most common symptoms of pancreatic and periampullary cancer [3]. Hyperbilirubinaemia has been recognised as contributory ...

Background. Although periampullary diverticulum is usually asymptomatic and discovered incidentally in patients during endoscopic retrograde cholangiopancreatography (ERCP), it may lead to post-ERCP morbidity. We compared baseline characteristics and clinical data as well as ERCP results in patients with and without periampullary diverticulum. Methods. Clinical, laboratory, and ERCP data of 780...

Facing with a periampullary mass, the first step is to reach a diagnosis, if possible, before surgery. The second step in the case of malignancy is the accurate staging and then deciding whether it is resectable or not. Even if obtaining iniformation about the characteristics of the disease (nature, size, exact location) and establishing the tissue diagnosis preoperatively may semplify the deci...

Extended transduodenal sphincteroplasty has been suggested as an alternative to choledochoduodenostomy for the surgical management of bile duct stones associated with a periampullary diverticulum but its value has not previously been investigated. Over a 3 year period, nine patients underwent extended transduodenal sphincteroplasty for common bile duct calculi associated with a periampullary di...

Paragangliomas are tumors that originate from extra-adrenal medullary neural crest derivatives. They are rarely located in retroperitoneal space. These tumors are often discovered incidentally during imaging studies performed for other reasons. Periampullary cancers include adenocarcinomas arising from the pancreas, ampulla of Vater, duodenum or distal common bile duct. The exact site of origin...