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Background  A double major papilla of Vater is a rare congenital anomaly with only three documented cases described in the literature.    Case report  We report the case of a 19-year-old man, with chronic ulcerative pancolitis and congenital sphrerocytosis, who underwent endoscopic retrograde cholangiopancreatography because he had persistent elevation of liver enzymes and normal MRI cholangiography. During endoscopic retrograde cholangiopancreatography, a double papilla of Vater with separate drainage for the bile duct and the pancreatic duct was observed.    Conclusion  Endoscopic retrograde cholangiopancreatography showed normal pancreatogram and findings compatible with sclerosing cholangitis.

Double major papilla of Vater - a rare endoscopic finding during endoscopic retrograde cholangiopancreatography: a case report