{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,19]],"date-time":"2026-10-19T04:25:44Z","timestamp":1792383944711,"version":"4.4.0"},"reference-count":20,"publisher":"BMJ","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Reports"],"accepted":{"date-parts":[[2015,9,1]]},"abstract":"<jats:p>Ascariasis is a common helminthic disease worldwide, although Lithuania and other European countries are not considered endemic areas. The presence of the <jats:italic>Ascaris<\/jats:italic> worm in the biliary tree causes choledocholithiasis-like symptoms. We report a case of pancreatic duct ascariasis causing such symptoms. A 73-year-old Lithuanian woman underwent endoscopic retrograde cholangiopancreatography (ERCP) suspecting choledocholithiasis. Contrast injection into the common bile duct demonstrated a slightly dilated biliary tree without any filling defects, and the tail of an <jats:italic>Ascaris<\/jats:italic> worm protruding from the opening of the papilla Vater. The worm was captured by a snare but escaped deep into the duct. After a small wirsungotomy the worm was retrieved from the pancreatic duct. The patient received a 150\u2005mg dose of levamisole orally repeated 7\u2005days later and was discharged after complete resolution of symptoms. This first reported sporadic case of pancreatic duct ascariasis in Lithuania was successfully treated with ERCP and Levamisole.<\/jats:p>","DOI":"10.1136\/bcr-2014-207936","type":"journal-article","created":{"date-parts":[[2015,9,15]],"date-time":"2015-09-15T08:02:40Z","timestamp":1442304160000},"page":"bcr2014207936","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":14,"title":["Ascariasis of the pancreatic duct"],"prefix":"10.1136","volume":"2015","author":[{"given":"Michail","family":"Klimovskij","sequence":"first","affiliation":[{"name":"Vilnius University, Vilnius, Lithuania"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Audrius","family":"Dulskas","sequence":"additional","affiliation":[{"name":"Vilnius University, Vilnius, Lithuania"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Zita","family":"Kraulyte","sequence":"additional","affiliation":[{"name":"Vilnius University Hospital Santariskiu Klinikos, Vilnius, Lithuania"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Saulius","family":"Mikalauskas","sequence":"additional","affiliation":[{"name":"Vilnius University Hospital Santariskiu Klinikos, Vilnius, Lithuania"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"239","published-online":{"date-parts":[[2015,9,15]]},"reference":[{"key":"2025082723054383000_2015.sep15_1.bcr2014207936.1","doi-asserted-by":"publisher","DOI":"10.1007\/BF00203362"},{"key":"2025082723054383000_2015.sep15_1.bcr2014207936.2","doi-asserted-by":"publisher","DOI":"10.1007\/s002619900542"},{"key":"2025082723054383000_2015.sep15_1.bcr2014207936.3","doi-asserted-by":"crossref","first-page":"1231","DOI":"10.5858\/2000-124-1231-ACROAO","article-title":"A case report of ascariasis of the common bile duct in a patient who had undergone cholecystectomy","volume":"124","author":"Amog","year":"2000","journal-title":"Arch Pathol Lab Med"},{"key":"2025082723054383000_2015.sep15_1.bcr2014207936.4","unstructured":"Crompton DWT . 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