ERCP
Pediatric Endoscopy
10 year old patient with recurrent pancreatitis. S/p multiple thoracostomies for mediastinal pseudocysts> referred for ERCP and PD stent placement. Pancreatogram showed wire negotiating into a cystic space separate from main pancreatic duct. A 7frx7cm single pigtail stent placed. Patient responded well, no further chest or abdominal collections !
Precut Papilotomy of Minor Papila
Performing ercp of a previosuly failed ERCP in a 9 years old child with chronic pancreatitis secondary to pancreas divisum
Previously unable to cannulate the minor papila despite multiple attempts, precut papilotomy performed, pancreatogram done which showed proximal PD stricture with upstream dilation, followed by dilation using 6 mm hurricane balloon and eventual successful stent deployment
Cholestatic pattern of enzymes- U/S showed filling defects within the CBD.
30 year old female presented with abdominal pain and vomiting. LFT's were elevated with cholestatic pattern of enzymes- U/S showed filling defects within the CBD. On ERCP, cholangiogram revealed linear filling defects. Large worm retrieved on balloon trawls, and removed with grasping forcep. Patient was discharged on albendazole.
Zakat & Donation
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