Abstract
Endoscopic sphincterotomy (ES) is sometimes advocated for the temporary decompression
of an obstructed bile duct by a periampullary tumor. We report a 27-year-old woman
with a small carcinoma of the pancreatic head who developed acute pancreatitis and
a pseudocyst following ES. At operation, malignant spread was virtually confined to
the walls of the resolving pseudocyst cavity. Despite radical resection, she died
from recurrent carcinoma 7 months postoperatively.
