TITLE:
Ampullary Neuroendocrine Tumor: A Rare Cause of Recurrent Abdominal Pain
AUTHORS:
Andrew Ofosu, Michael Taccone, Laskhmi Potakamuri, Sanjay Jagannath
KEYWORDS:
Ampullary Neuroendocrine Tumor; Pancreaticoduodenectomy; Endoscopic Resection; Abdominal Pain
JOURNAL NAME:
Case Reports in Clinical Medicine,
Vol.3 No.3,
March
13,
2014
ABSTRACT: Ampullary Neuroendocrine tumor (ANET) is a rare GI
malignancy, representing less than 1% of GI neuroendocrine tumors and less than
2% of ampullary tumors. Traditional treatment is often a
pancreaticoduodenectomy; however, local and endoscopic resections have been
successful. We report a rare case of ANET in a 21-year-old Burmese man who presented with a 6-year history
of non-specific intermittent abdominal pain who was successfully managed
through transduodenal ampullectomy. At 24 months postoperatively he
remains disease and symptom free. ANET is a rare cause of recurrent abdominal pain, and
local excision of small ANETs can be an alternative, less morbid treatment for
young patients. We follow the case with a brief review of the
literature.