Metastatic tumors of the duodenal papilla (ampulla of Vater) are rare. The images here are from a middle-aged gentleman with progressive cholestatic jaundice and recurrent cholangitis, with a past history of nephrectomy for renal cell carcinoma (RCC) 6 years earlier. Endoscopy revealed a bulky duodenal papilla, and the biopsy showed features consistent with RCC (Figs. 1 and 2). Metastatic tumor...

Ascariasis is the most common helminthic infection to infest man. Usually the adult worm lives in the small intestine. Rarely it migrates through the ampulla of vater and enters the common bile duct. We are reporting a case of gall bladder ascariasis causing acute cholecystitis treated by laparoscopic cholecystectomy. Presence of Ascaris lumbricoides in gallbladder is rare entity as it is diffi...

Renal cell carcinoma is the second most common urological malignancy and it runs a highly variable clinical course. We describe a case of metastatic renal cell carcinoma in a 50-year-old lady with metastasis to the ampulla of Vater, clinically masquerading as cholelithiasis and biliary colic. The clinical, radiographic and endoscopic findings are presented. Ampullary metastases are rare, and pr...