本文报道1例Vater壶腹癌胰十二指肠切除术后肝转移如下。1病例介绍患者,女,60岁,因“上腹不适一年余”于2009年8月21日行胃镜提示十二指肠乳头隆起性病变,活检提示腺癌(中等分化)。后于2009年8月28日入院并行CT检查:肝内外胆管扩张明显,肝实质内未见其他异常密度灶,壶腹部见16 mm×11 This article reports one case of Vater ampullary carcinoma after hepatectomy with liver metastasis as follows. 1 Case Introduction Patients, female, 60 years old, due to “abdominal discomfort for more than a year ” August 21, 2009 linedoscopy prompted duodenal papillary bulge lesions, biopsy prompted adenocarcinoma (medium differentiation). After admission on August 28, 2009, a parallel CT examination showed that the bile ducts in the liver were significantly dilated and no other abnormal density lesions were seen in the liver parenchyma. The ampulla was seen as 16 mm×11.