Recurrent acute pancreatitis in a toddler: a “wormy surprise”

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Presentation transcript:

Recurrent acute pancreatitis in a toddler: a “wormy surprise” Zaheer Nabi, MD, DNB, Sundeep Lakhtakia, MD, DM, Upender Shava, MD, DM, Rangarao Devarasetty, MD, D. Nageshwar Reddy, MD, DM VideoGIE Volume 3, Issue 9, Pages 266-267 (September 2018) DOI: 10.1016/j.vgie.2018.05.009 Copyright © 2018 American Society for Gastrointestinal Endoscopy Terms and Conditions

Figure 1 A, Endosonographic view revealing dilatation of the common bile duct (CBD). Portal vein (PV) is identified with red arrow. B, Linear parallel echogenic stripes with anechoic center in the bile duct. C, Multiple small calculi in the gallbladder. D, Live Ascaris worm in the second part of the duodenum being extracted with rat-tooth forceps. E, Cholangiogram showing a linear filling defect in the bile duct. F, Extraction of live worm from the bile duct with a biliary stone extracting balloon. G, Extraction of dead bile-stained Ascaris worm from the bile duct. H, Final cholangiogram showing a clear bile duct. VideoGIE 2018 3, 266-267DOI: (10.1016/j.vgie.2018.05.009) Copyright © 2018 American Society for Gastrointestinal Endoscopy Terms and Conditions