GRAND ROUNDS AND TEACHING FILES
Biliary Ascariasis


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Clinical Problem:


Ira Shah
Medical Sciences Department, Pediatric Oncall, Mumbai, India.

Address for Correspondence: Dr Ira Shah, 1, B Saguna, 271, B St Francis Road, Vile Parle {W}, Mumbai 400056, India.


A 7 years old boy presented with fever and right hypochondriac abdominal pain for a 1 month. There was no vomiting or jaundice. He underwent an ultrasound {USG} abdomen that showed edematous common bile duct with round worm like linear structure at porta. Stool examination was normal. Liver function tests were normal. Hemogram showed anemia with eosinophilia {absolute eosinophil count = 2560 cells, cumm}. X-Ray abdomen showed air fluid levels.



How to treat biliary ascariasis_?

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