Abstract
A 42-year-old female presented with abdominal pain and a prior history of laparoscopic cholecystectomy 2 years earlier. Total leukocyte counts were raised. Ultrasound abdominal scan (Fig. 1) and magnetic resonance cholangiography (Fig. 2) confirmed a diagnosis of ascariasis leading to stump cholecystitis. The diagnosis was confirmed at surgery and the stump was removed. Migration of Ascaris lumbricoides may occur into an intact biliary system or after biliary sphincterotomy, but migration into a gallbladder stump with cholecystitis must be considered rare. In endemic areas, this must be considered in the differential diagnosis of postcholecystectomy syndrome [1, 2].
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