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MDCT and MRI of the ampulla of Vater (part II): non-epithelial neoplasms, benign ampullary disorders, and pitfalls

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Abstract

The purpose of this two-part article is to review the cross-sectional imaging features of benign and malignant ampullary conditions with endoscopic and histopathologic correlation and to present the most common pitfalls in the evaluation of the ampulla. In this part, we will review the mesenchymal and secondary neoplasms of the ampulla, a vast array of benign ampullary conditions, causes of bulging papilla, and pitfalls. Familiarity with ampullary pathologic conditions and pitfalls, as well as the use of optimized MDCT and MRI techniques, may improve the diagnostic accuracy of radiologists facing ampullary abnormalities.

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Conflict of interest

The authors declare that they have no conflict of interest.

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Authors and Affiliations

  1. Division of Body MRI, Department of Radiology, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, USA

    Francesco Alessandrino & Koenraad J. Mortele

  2. Department of Radiology, Faulkner Hospital, Harvard Medical School, Boston, USA

    Daniel Souza

  3. Department of Diagnostic Imaging, Center of Radiology and MR, Clinical Center of Serbia, School of Medicine, Belgrade, Serbia

    Aleksandar M. Ivanovic

  4. Department of Diagnostic Imaging, St-Boniface Hospital, University of Manitoba, Winnipeg, Canada

    Dejana Radulovic

  5. Department of Pathology, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, USA

    Eric U. Yee

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  1. Francesco Alessandrino
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  2. Daniel Souza
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  3. Aleksandar M. Ivanovic
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  4. Dejana Radulovic
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  5. Eric U. Yee
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  6. Koenraad J. Mortele
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Correspondence to Francesco Alessandrino.

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Alessandrino, F., Souza, D., Ivanovic, A.M. et al. MDCT and MRI of the ampulla of Vater (part II): non-epithelial neoplasms, benign ampullary disorders, and pitfalls. Abdom Imaging 40, 3292–3312 (2015). https://doi.org/10.1007/s00261-015-0529-2

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