Recurrent pancreatitis caused by a calcified ascaris in the duct of Wirsung.
A case report of recurrent pancreatitis in a 20-yr-old woman due to an impacted calcified Ascaris remnant within the duct of Wirsung is presented. Endoscopic retrograde cholangiography identified a filling defect in the proximal main pancreatic duct. Transampullary endoscopic retrieval failed to extract the calculus and operative intervention was required to remove the calcified worm remnant.
D000328:Adult; D001196:Ascariasis / Q000150:complications*; D002114:Calcinosis / Q000150:complications* / Q000469:parasitology; D005260:Female; D006801:Humans; D010183:Pancreatic Ducts / Q000469:parasitology* / Q000601:surgery; D010195:Pancreatitis / Q000209:etiology* / Q000601:surgery; D012008:Recurrence