Hepatobiliary and pancreatic ascariasis

Figure 7 Choledochus ascariasis blocking orifice of cystic duct, causing acute obstructive cholecystitis, needing emergency cholecystectomy. A: Endoscopic retrograde cholangiogram showing linear filling defect in common bile duct (black arrows). Cystic duct and gall bladder is grossly dilated (white arrows); B: Gall bladder showing inflamed gall bladder with 2 adult ascarides and few stones around macerated dead worm. Adapted from Khuroo[5].