Case Report
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World J Gastroenterol. Sep 28, 2013; 19(36): 6122-6124
Published online Sep 28, 2013. doi: 10.3748/wjg.v19.i36.6122
Biliary ascariasis in a bile duct stones-removed female patient
Jun Wang, Yang-Lin Pan, Yan Xie, Kai-Chun Wu, Xue-Gang Guo
Jun Wang, Yan Xie, Department of Gastroenterology, No. 451 Hospital, Xi’an 710054, Shaanxi Province, China
Yang-Lin Pan, Kai-Chun Wu, Xue-Gang Guo, Department of Gastroenterology, Xijing Hospital, Fourth Military Medical University, Xi’an 710032, Shaanxi Province, China
Author contributions: Wang J and Pan YL contributed equally to this work; Wang J performed ERCP; Pan Yl collected, analyzed and interpreted data; Xie Y drafted the manuscript; Wu KC and Guo XG revised the manuscript; all authors critically reviewed and approved the manuscript.
Correspondence to: Xue-Gang Guo, MD, Department of Gastroenterology, Xijing Hospital, Fourth Military Medical University, 127 Changle Western Road, Xi’an 710032, Shaanxi Province, China. cox2wj@yahoo.com
Telephone: +86-29-84734201 Fax: +86-29-82539041
Received: April 23, 2013
Revised: May 21, 2013
Accepted: August 16, 2013
Published online: September 28, 2013
Processing time: 156 Days and 23 Hours
Abstract

Biliary ascariasis is a common problem in rural areas in China. The common presentations include biliary colic, acute cholangitis, obstructive jaundice, choledocholithiasis and acute cholecystitis. Here, we describe a case with biliary ascariasis two days after endoscopic sphincterotomy for choledocholithiasis. A living ascaris was successfully removed by endoscopic retrograde cholangiopancreatography. This case indicated that biliary ascariasis is not an uncommon complication of endoscopic sphincterotomy in some regions where ascariasis is epidemic.

Keywords: Biliary ascariasis; Endoscopic retrograde Cholangiopancreatography; Endoscopy; Choledocholithiasis

Core tip: Biliary ascariasis is a common problem in rural areas in China. The common presentations include biliary colic, acute cholangitis, obstructive jaundice, choledocholithiasis and acute cholecystitis. Here, we describe a case with biliary ascariasis two days after endoscopic sphincterotomy for choledocholithiasis. A living ascaris was successfully removed by endoscopic retrograde cholangiopancreatography. This case indicated that biliary ascariasis is not an uncommon complication of endoscopic sphincterotomy in some regions where ascariasis is epidemic.