•  A 30 yrs old 7 months pregnant female patient was referred to us for the favour of EUS to evaluate the exact etiology of recurrent episodes of acute pancreatitis since 2012 and patient has been treated with conservative medication.
  • Patient has been in pain almost every day for the last few week requiring injectable analgesics and antispasmodic and hence after explaining all the risks of the procedure, EUS sos Endotherapy was considered once the relatives gave the informed consent. 
  • EUS showed A 7.0mm stone and few concrements were seen in the Prepapillary portion of the MPD
  • MPD appeared dilated and irregular in the genu and body.
  • Selective cannulation of MPD, Pancreatogram confirmed the EUS findings
  • Pancreatic sphincterotomy was performed.
  • Prepapillary Stones and concrements from the pancreatic duct was extracted with balloon catheter and complete ductal clearance was achieved.
  • A 7 fr stent was then placed in the MPD

A 7.0mm Stones and few concrements were seen in the prepapillary portion of the MPD.

MPD appeared dilated (8 mm) in the head region with soft stones

 

 

 

 

 

 

 

 

MPD appeared dilated and irregular in the genu and body

Selective cannulation of MPD

 

 

 

 

 

 

 

 

Pancreatogram confirmed the EUS findings

Pancreatic Sphincterotomy was performed

Pancreatic Sphincterotomy was performed

 

 

 

 

 

 

 

 

Prepapillary Stones and concrements from the pancreatic duct was extracted with balloon catheter.

A 7 fr stent was then placed in the MPD

 

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