Biliary Ascariasis with Choledocholithiasis and Biliary Pancreatitis: Endoscopically Treated / 대한소화기내시경학회지

A 60-year-old man with biliary ascariasis accompanied by choledocholithiasis and biliary pancreatitis, is herein reported. His chief complaints were epigastric pain, nausea, and vomiting. He had a past history of eating raw fish and vegetables. An endoscopic retrograde cholangiopancreatography (ERCP) revealed multiple CBD stones and a live ascaris adult worm in the common bile duct which was not detected by an abdominal CT. The management of biliary obstruction caused by Ascaris lumbricoides has usually been surgical, but this report describes the endoscopic removal of the ascaris located in the common bile duct.