DOUBLE PAPILLA OF VATER - A RARE ANATOMIC ANOMALY OBSERVED IN ENDOSCOPIC RETROGRADE CHOLANGIOPANCREATOGRAPHY

A double papilla of Vater, with separate openings for the bile duct an d the pancreatic duct, is a rare anatomic anomaly observed in endoscop ic retrograde cholangiopancreatogaphy (ERCP). We report the case of a 45-year-old Chinese man with obstructive jaundice due to common bile d uct stones and gallbladder stones. During ERCP, a double papilla of Va ter with separate drainage for the bile duct and the pancreatic duct w as observed. As the anatomy was unusual, no sphincterotomy was perform ed, but a biliary stent was inserted. Subsequently, the patient underw ent cholecystectomy and exploration of the common bile duct. On the 15 th postoperative day, he was asymptomatic and was discharged.