Hepatobiliary and pancreatic ascariasis

Figure 10 Recurrent pyogenic cholangitis aftermath of biliary ascariasis. A: Endoscopic retrograde cholangiogram obtained 5 years prior to present admission revealing two long linear smooth filling defect in the common and left hepatic duct (arrows); B: Cholangiogram performed during present admission. Cholangiogram revealed biliary dilatation with multiple filling defects and cholangitic changes in the common hepatic, right and left hepatic duct. Naso-biliary tube is in place to treat pyogenic cholangitis. Adapted from Khuroo et al[4].