Summary:
Biliopancreatic ascariasis is one of the most common and
well-described entities caused by Ascaris lumbricoides.
Diagnosis can be made by ultrasonography and/or ERCP.
ERCP, in addition, has therapeutic potential. A prospective
study was done on ‘Biliopancreatic ascariasis’ to find out
different presentations of biliopancreatic ascariasis and to
assess the roles of ultrasonography and ERCP for the
diagnosis and management of the hepatobiliary and
pancreatic complications of ascariasis. All consecutive
patients presenting with the evidence of round worm in the
biliary tree and/or in the pancreatic duct were included in
this study. Total 51 patients were included. Male to female
ratio was 1: 2.4 with mean age 38.9 (+17.7) years. Most of
the cases were from rural areas (86.30%). Majority of the
cases were from the southern part of Bangladesh (88.20%)
and recorded during the month of October to March
(76.40%). Ultrasonography could correctly diagnose the
biliopancreatic ascariasis in 85.70% of cases. All the
patients complained of abdominal pain at presentation.
Presentations of biliopancreatic ascariasis cases were: