Presentation
Progressive painless obstructive jaundice
Patient Data
Age: 75 years
Gender: Female
From the case:
Ampullary neoplasm: histology unknown
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Double duct sign, ie obstruction to both CBD and pancreatic duct but pancreatic head is normal. Mass is seen in the lumen of the duodenal 2nd part at the expected position of the ampulla of Vater
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