Pancreatic duct ascariasis: sonographic diagnosis--a case report.
We report the case of a 19-year old boy presenting in the emergency with severe epigastric pain whose biochemical tests revealed elevated serum amylase and lipase levels and a clinical diagnosis of acute pancreatitis was made. On ultrasonic examination, the pancreas appeared bulky with a linear tubular echogenic worm (ascaris) seen within the prominent main pancreatic duct. Successful removal of the pancreatic duct worm was achieved through endoscopic retrograde cholangio pancreatography (ERCP).
Agarwal
A
A
Deptt. of Radiodiagnosis, Maulana Azad Medical College & Associated, Lok Nayak Hospital, New Delhi. amitmamc@yahoo.co.uk
Chowdhury
V
V
Srivastava
N
N
Khera
G
G
Singh
S
S
D000328:Adult; D001196:Ascariasis / Q000000981:diagnostic imaging* / Q000601:surgery; D002760:Cholangiopancreatography, Endoscopic Retrograde; D006801:Humans; D008297:Male; D010183:Pancreatic Ducts / Q000000981:diagnostic imaging; D010195:Pancreatitis / Q000000981:diagnostic imaging* / Q000469:parasitology* / Q000601:surgery; D014463:Ultrasonography