“…2 Occasionally, worms migrate through the ampulla of Vater into the biliary tree and gallbladder, resulting in bile duct obstruction, obstructive jaundice, single or recurrent cholangitis, colecysthitis, empyema, hepatic abscess and pancreatitis. 4,7,14,16,17 Ascariasis is considered the second cause of biliary-related symptoms and pancreatitis in endemic regions, 2 after stone disease. Hepatobiliary ascariasis is more common now than in the past, maybe because of the more frequent use of ultrasonography and endoscopic diagnostic procedures in the clinical practice.…”