Case Report

Double major papilla of Vater - a rare endoscopic finding during endoscopic retrograde cholangiopancreatography: a case report

Panagiotis Katsinelos¹ , Grigoris Chatzimavroudis¹ , Kostas Fasoulas¹ , Taxiarchis Katsinelos¹ , Ioannis Pilpilidis¹ , Georgia Lazaraki¹ , Sotiris Terzoudis¹ , George Kokonis¹ , Ioannis Patsis¹ , Christos Zavos² and Jannis Kountouras²

¹  Department of Endoscopy and Motility Unit, "G Gennimatas" General Hospital, Thessaloniki, Greece

²  Department of Gastroenterology, Second Medical Clinic, Aristotle University of Thessaloniki, Ippokration Hospital, Thessaloniki, Greece

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Cases Journal 2009, 2:163doi:10.1186/1757-1626-2-163

Published:	21 October 2009

Abstract

Background

A double major papilla of Vater is a rare congenital anomaly with only three documented cases described in the literature.

Case report

We report the case of a 19-year-old man, with chronic ulcerative pancolitis and congenital sphrerocytosis, who underwent endoscopic retrograde cholangiopancreatography because he had persistent elevation of liver enzymes and normal MRI cholangiography. During endoscopic retrograde cholangiopancreatography, a double papilla of Vater with separate drainage for the bile duct and the pancreatic duct was observed.

Conclusion

Endoscopic retrograde cholangiopancreatography showed normal pancreatogram and findings compatible with sclerosing cholangitis.