Biliary Ascariasis

Ascariasis is a common parasitic infestation, it is usually asymptomatic, and is diagnosed either by accidental finding of ascaris eggs on stool examination, or by the patient reporting passage of pencil like structures with stool, but sometimes it might present with more sinister problems like intestinal obstruction, in heavy infestation, biliary involvement with related complications like obstructive jaundice, cholecystitis or cholangitis. In this article we report a case of biliary ascariasis presented as a case of chronic abdominal pain