Abstract
BackgroundBilio-pancreatic ascariasis is the most frequent extra-intestinal localization of digestive ascariasis. Its diagnosis is generally made with ultrasonography and the therapeutic management is controlled by endoscopy.Aim of studyWe present a 24-year-old woman, with biliary ascariasis, operated by laparoscopy after failure of endoscopic treatment.ObservationA 24-year-old woman was hospitalized for abdominal pain and fever. Abdominal ultrasound showed a common bile duct (VBP) dilated to 11 mm seat of a mobile serpiginous structure measuring 20 mm suggestive of an ascariasis. After failure of the extraction of the worm by endoscopic, treatment was laparoscopic surgery.ConclusionThis case illustrates that the diagnosis of biliary ascariasis should be considered even in non-endemic countries. Endoscopic treatment was the reference. Surgery was indicated for failures of endoscopic treatment and association of ascariasis and common bile duct stones.
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