Ampuloma bien diferenciado: reporte de caso

Abstract

Vater papilla adenomas are neoplasms with high potential for malignant transformation, so regardless of their degree, they require resection to prevent their progression. Endoscopic ampulectomy is considered a minimally invasive alternative with a lower morbidity rate compared to duodenopancreatectomy. The present case report is of a 45-year-old female patient who goes to an external consultation for pruritus located in the arms for about 1 month in treatment with loratadina without improvement of her picture. Three days ago, she showed evidence of skin and icteric sclerosis, so laboratory examinations revealed an alteration of the liver profile. He was arrested on suspicion of obstructive icteric syndrome. Handling ampulomas by endoscopic ampulectomy is an effective and less invasive technique; however, it is recommended in patients in whom there is no intraductal invasion and a pattern of adenocarcinoma. This case is transcendental since, being a rare disease in our environment, it awakens great medical interest, both theoretical and clinical.