Fatal ascaris pancreatitis

Gastrointestinal parasites are an uncommon cause of biliary and pancreatic obstruction in the Arabian Gulf; it could have serious complications and even mortality. A Bengali male thirty-two year old patient recently arrived in Bahrain for presented with all the features of acute pancreatitis, no evidence of gallstones or alcohol abuse. He died despite all the therapeutic measures. Endoscopy revealed an Ascaris lumbricoides within the ampulla of Vater. Ascariasis is uncommon cause of acute pancreatitis, which should not be ignored

Giant paraovarian cyst in a young female

A thirty-two year old woman presented with painless, gradually increasing, abdominal distension of eight months duration. Ultrasound and CT scan of the abdomen and pelvis were suggestive of an ovarian cyst. At laparoscopy a huge right broad ligament [paraovarian] cyst was found and cystectomy was performed