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
Core Tip

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.