Laparoscopic Common Duct Exploration in a Child with Recurrent Pancreatitis due to a Primary Fungus Ball in the Terminal Common Bile Duct

ABSTRACT

We report on a case of a fungus ball obstructing the distal common bile duct and causing recurrent pancreatitis in an otherwise healthy 3-year-old boy. Laparoscopic exploration of the common bile duct was performed using a 10 french rigid fiberoptic cystoscope and a Dormia basket. This is the first example of a primary fungus ball in common bile duct presenting as a pancreatitis and treated laparoscopically.