Duodenal ulcer eroding the papilla. 2 cases
Ribet, M.; Wurtz, A.
Journal de Chirurgie 120(3): 155-157
1983
ISSN/ISBN: 0021-7697 PMID: 6863414 Document Number: 208193
The authors report two cases of ulcers eroding the duodenal papilla. In one case there is a spontaneous reflux into the canal of Wirsung, causing acute pancreatitis. In the other case, the erosion is not complicated, and is revealed by an opacification of the main bile duct during an X-rays examination of the stomach and duodenum in a patient with a Burnett's syndrome. The erosion of the papilla is secondary to duodenal shrinkage by sclerosis. The choice treatment is exclusion gastrectomy, but resection may be necessary.