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. 2013 Apr-Jun;2(2):96–101. doi: 10.4103/2303-9027.117695

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Copyright: © Endoscopic Ultrasound

This is an open-access article distributed under the terms of the Creative Commons Attribution-Noncommercial-Share Alike 3.0 Unported, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

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A: A 2-year-old child presented with recurrent abdominal pain and during the episodes of pain amylase levels were high. Ultrasound revealed a bile duct diameter of 6 mm (normal 3 mm for a 2-year-old child). EUS revealed microlithiasis (yellow arrow). Endoscopic sphincterotomy was done. B: A 3.5-year-old child presented with recurrent abdominal pain. Ultrasound revealed a bile duct diameter of 8 mm. Computed tomography scan and magnetic resonance cholangiopancreatography were normal. Endoscopic ultrasound revealed a common bile duct (CBD) stone. Endoscopic sphincterotomy and stone removal was done. C: The 3.5 year old child was referred for evaluation of dilated CBD. EB-EUS showed dilated CBD in the upper part up to the neck of pancreas. The CBD in the intrapancreatic part abruptly narrowed down to a diameter of 5.4 mm. The pancreatic duct was normal.