Endoscopic Diagnosis and Extraction of Biliary Ascaris: A Case Report

Management of Biliary Ascariasis in Children Living in an Endemic Area

“…In critically ill patients thought to have pyogenic cholangitis, endoscopic extraction with drainage may be life-saving. ERCP as a therapeutic intervention should be considered if a patient fails to respond to conservative treatment for 3 weeks or the worm persists (on serial sonograms) or has died within the pancreatobiliary tree [15] . The presence of coexistent strictures or stones within the ducts is also an indication.…”

Endoscopic Management of Bile Duct Stones at Riyadh Military Hospital: An Eight-Year Experience

“…Two of our patients with recurrent stones had Ascaris lumbricoides [17]. In endemic areas, ascaris is as common as gallstones in the cause of symptomatic biliary and pancreatic disease.…”

Recurrent cholangitis secondary to Ascaris lumbricoides – a rare occurrence

“…[3] Endoscopic retrograde cholangiopancreatography (ERCP) can play a diagnostic as well as therapeutic role as it allows direct visualization and extraction of the worm. [4][5][6][7] Sphincterotomy is best avoided because it can facilitate recurrent infestation of the worms in the biliary tract. Dilatation of Oddi's sphincter is a better and amiable alternative in these situations.…”