Ampullary carcinoma

Ampullary carcinoma

Clinical information

Female, 93 years old, experiencing episodic pain in the upper right abdomen, fever, jaundice, elevated CRP and increased liver values including bilirubin. Referred by the General practitioner for an abdominal ultrasound with suspicion of cholecystitis and cholelithiasis.

Brief description

Significantly dilated common bile duct up to 2,8cm with a suspicious intraductal mass at the level of the ampulla of Vater. Marked dilatation of the intrahepatic bile ducts. Thin-walled, non-hydropic galbladder without stones.
The patient was referred to Gastroenterology for ERCP and stent placement. Additionaly a CT scan of the thorax and abdomen was performed confirming the mass at the ampulla of Vater and no signs of disease activity elsewhere. Due to the patient's age, no further treatment for ampullary carcinoma will be pursued.

Ultrasound Images & Clips

Dilated common bile duct up to 2,8cm
Dilated common bile duct up to 2,8cm
Intraductal mass at the level of the ampulla of Vater
Intraductal mass at the level of the ampulla of Vater
Intraductal mass at the level of the ampulla of Vater
Intraductal mass at the level of the ampulla of Vater
Mass with internal vascularity
Mass with internal vascularity
Transverse view of the CBD with intraductal mass
Transverse view of the CBD with intraductal mass
Normal gallbladder
Normal gallbladder
Normal gallbladder, non-hydropic
Normal gallbladder, non-hydropic
Dilated intrahepatic bile ducts
Dilated intrahepatic bile ducts

Conclusion

Ampullary carcinoma

Details

  • Sex: Female
  • Age: 93
  • Body part: Abdomen