Extensive Worm Infestation - A Case Report

Abstract

In India, ascariasis is highly endemic, especially in paediatric population. Ascaris usually lives in the duodenum but wanders through the orifices, ducts and cavities to reach common bile duct, liver and pancreas, thereby leading to a plethora of clinical presentations. Fulminant hepatobiliary infestation is rare and infrequently reported. We present a case of a child who had overwhelming infestation of the small bowel, extra-hepatic biliary system and liver which was managed conservatively.Ascariasis is the most common helminthic infection in the world and is seen mostly in the developing countries of Asia. We report a case of heavy worm infestation in a 2-year-old child who presented with worms in small bowel, common bile duct and liver with abscesses. He was managed conservatively and recovered well without any sequalae.