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Fatal ascaris pancreatitis: an uncommon problem in the west.
  1. G J Maddern,
  2. A R Dennison,
  3. L H Blumgart
  1. Department of Visceral and Transplantation Surgery, Inselspital, Berne, Switzerland.


    Gastrointestinal parasites, although an uncommon cause of biliary and pancreatic problems in western medicine, can produce fatal complications. A Swiss patient presented with acute pancreatitis, with no evidence of gall stones or history of alcohol abuse. He died after a short fulminant illness. At necropsy, an Ascaris lumbracoides was found impacted within the ampulla of Vater and serves as a reminder that non-indigenous causes of biliary tract obstruction should not be overlooked.

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