Bulging duodenal papilla
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was changed:
MajorBulging duodenal papilla is a conicconical or cylindriccylindrical protuberance at the medial aspect of the descending or horizontal duodenum at the site of the sphincter of Oddi. It is finding on small bowel follow-though (and endoscopy) and has a relatively long differential.
On cross sectional-sectional imaging, the underlying cause is usually seen before the effect on the papilla.
Pathology
Causes include:
- normal variant
- patulous ampulla of Vater (look for associated pneumobilia)
- tumours
- papillitis
- autoimmune pancreatitis
- choledochocele
- impacted choledocholithiasis
-<p><strong>Major duodenal papilla</strong> is a conic or cylindric protuberance at the medial aspect of the descending or horizontal duodenum at the site of the <a href="/articles/sphincter-of-oddi">sphincter of Oddi</a>. It is finding on small bowel follow-though (and endoscopy) and has a relatively long differential.</p><p>On cross sectional imaging, the underlying cause is usually seen before the effect on the papilla.</p><p>Causes include:</p><ul>- +<p><strong>Bulging duodenal papilla </strong>is a conical or cylindrical protuberance at the medial aspect of the descending or horizontal duodenum at the site of the <a href="/articles/sphincter-of-oddi">sphincter of Oddi</a>. It is finding on small bowel follow-though (and endoscopy) and has a relatively long differential. On cross-sectional imaging, the underlying cause is usually seen before the effect on the papilla.</p><h4>Pathology</h4><p>Causes include:</p><ul>
-<li><a href="/articles/choledochocoele">choledochocele</a></li>- +<li><a href="/articles/choledochocele-1">choledochocele</a></li>
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