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| Two big orifices in the second duodenal portion: A case of an atypical double papilla |
| Salvatore Francesco Vadala di Prampero a , Nikola Panic b , ∗, Marco Massidda a , Chiara Rocchi a , Pierluigi Maria Rinaldi c , Ana Malenkovic b , Milutin Bulajic a |
a Gastroenterology and GI Endoscopy Department, Mater Olbia Hospital, Olbia 07026, Italy
b Digestive Endoscopy Unit, University Clinic "Dr Dragisa Misovic-Dedinje", Belgrade 11000, Serbia
c Radiology Department, Mater Olbia Hospital, Olbia 07026, Italy
∗ Corresponding author.
E-mail address: nikola.panicmail@gmail.com (N. Panic). |
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Abstract With the advent of endoscopic retrograde cholangiopancreatography (ERCP) in the early 1970s, anatomic anomalies of the Vaterian system were described endoscopically [1] . Although the occurrence is rare, the common bile duct (CBD) and the pancreatic duct may fail to coalesce during embryologic development. This leads to double major papilla because both ducts open into the duodenum separately [1] . In this way the cranial duct communicates with the CBD, while the caudal orifice communicates with the pancreatic duct [2] .
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2024, Vol. 23 
