Abstract
A 73-year-old female was admitted to our hospital on January 14, 1982 for evaluation of epigastralgia, anorexia and nausea. Stool examination showed Ascaris lumbricoidesova. A partial body of the roundworm was found in the Vater's papilla by using a forwardviewing fiberscope (Machida FGI-SD). During the endoscopic observation, the roundworm prolapsed from the Vater's papilla and migrated to the second portion of the duodenum. The roundworm was pinched by the forceps and removed under the endoscopic observation. Another two ascarides were seen in the stool by administration of pyrantel pamonate. About the middle of June, 1982, she complained of epigastralgia again, and ova in stool specimen became positive: Gastrointestinal X-ray series showed the filamentous radiolucent area in the barium-filled upper portion of the jejunum . After readministration of anthelmintics, two ascarides were detected in the stool and her complaints disappeared . Endoscopic retrograde cholangiopancreatogram showed the mild dilatation of the main pancreatic duct and the worm-shaped radiolucency in the duct. A rare case which the roundworm was removed by the endoscopic procedure was reported.
