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Ascaris infestation of the bile duct

Ascaris infestation of the bile duct
A) Contrast injected into the papilla of vater shows ascaris worms obstructing the common bile duct and impinging on the main pancreatic duct. B) The worms are removed using a tripod basket.
Reproduced with permission from: ERCP in Paediatric Practice: Diagnosis and Treatment, Isis Medical Media LTD, Oxford University Press, UK, 1997. Copyright ©1997 Oxford University Press.
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