Table of Contents
HPB Surgery
Volume 10, Issue 4, Pages 241-244
Case Report

Collision Tumour of the Ampulla of Vater: Carcinoid and Adenocarcinoma

Departments of Surgery and Pathology, East Gtamorgan General Hospital, Church Village, Nr. Pontypridd Mid Gtamorgan CF38 1AB, Barbados

Received 12 February 1996

Copyright © 1997 Hindawi Publishing Corporation. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


Obstructive jaundice is most commonly due to luminal stones or lesions of the head of the pancreas and more rarely ampullary and primary common bile duct lesions. Obstruction due to lesions of the ampulla of Vater may be due to adenocarcinoma which has a significantly better long term prognosis than carcinomas located in the head of the pancreas. A case is presented where two tumours were identified at the ampulla of Vater of the resected specimen one an adenocarcinoma and the other a carcinoid tumour representing a collision tumour.