| Papilla of Vater with polyp |
 |
 |
|
Indication to perform an ERCP
is painless jaandice. Inspection of the papilla
reveals a tissue- like structure in the
orifice.
|
Cholangiogramm shows considerably
congested bile ducts. There is no
potential cause for jaandice above
the hepatic fork, namely no proximal stone.
|
 |
 |
|
In this setting an EPT is
performed, a
polypoid tumor prolapses from the
orifice thereafter.
|
The tumor is resected by a snare
(right
edge of the figure), histologically it
proves to be a mucous hyperplasia
with adenomatous structures included.
|
| Adenoma |
 |
Huge polypoid tumor with granular surface extending from the papilla´s porus
nearly to the roof of the papilla. Histology reveals a papillary adenoma. |
