{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,12]],"date-time":"2026-08-12T15:56:48Z","timestamp":1786550208853,"version":"build-2736575974"},"reference-count":23,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"5","license":[{"start":{"date-parts":[[2019,5,1]],"date-time":"2019-05-01T00:00:00Z","timestamp":1556668800000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["ACG Case Rep J","ACG Case Reports Journal"],"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:p>Cases of biliary ascariasis and hydatid cysts in liver and elsewhere are common in endemic areas and are routinely encountered in surgical outpatient departments. We describe the diagnosis and management of a unique case, who presented with manifestations of biliary ascariasis, but on further investigation was found to harbor ascarids as well as ruptured hydatids in his biliary passages. To our knowledge, this is the first reported case of simultaneous parasitization of common bile duct by ascarid and hydatid forms, resulting in obstruction of the biliary system. This report highlights the diversity of presentation and challenges in the management of such cases, when encountered in practice.<\/jats:p>","DOI":"10.14309\/crj.0000000000000082","type":"journal-article","created":{"date-parts":[[2019,5,14]],"date-time":"2019-05-14T17:52:10Z","timestamp":1557856330000},"page":"e00082","source":"Crossref","is-referenced-by-count":0,"title":["Dual Parasitization of the Biliary Tree: First Reported Case"],"prefix":"10.14309","volume":"6","author":[{"given":"Irfan","family":"Robbani","sequence":"first","affiliation":[{"name":"Department of Radiodiagnosis, Sher-i-Kashmir Institute of Medical Sciences, Srinagar, Kashmir, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Omar Javed","family":"Shah","sequence":"additional","affiliation":[{"name":"Department of Surgical Gastroenterology, Sher-i-Kashmir Institute of Medical Sciences, Srinagar, Kashmir, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Altaf A.","family":"Shah","sequence":"additional","affiliation":[{"name":"Department of Medical Gastroenterology, Sher-i-Kashmir Institute of Medical Sciences, Srinagar, Kashmir, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mohd","family":"Ilyas","sequence":"additional","affiliation":[{"name":"Department of Radiodiagnosis, Sher-i-Kashmir Institute of Medical Sciences, Srinagar, Kashmir, India"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2019,5,14]]},"reference":[{"key":"R1-20230717","first-page":"6","article-title":"Control of ascariasis (report of a WHO expert committee)","volume":"379","author":"Gabaldon","year":"1967","journal-title":"World Health Organ Tech Rep Ser"},{"key":"R3-20230717","first-page":"38","article-title":"Surgical complications of abdominal ascariasis","volume":"24","author":"Wani","year":"2002","journal-title":"Postgrad Doctor Afr"},{"key":"R4-20230717","doi-asserted-by":"crossref","first-page":"639","DOI":"10.2214\/ajr.145.3.639","article-title":"The radiology of hydatid disease","volume":"145","author":"Beggs","year":"1985","journal-title":"AJR Am J Roentgenol"},{"key":"R5-20230717","first-page":"228","article-title":"Intrabiliary rupture of hydatid cyst of the liver","volume":"38","author":"Al Hashmi","year":"1971","journal-title":"Br J Surg"},{"key":"R6-20230717","doi-asserted-by":"crossref","first-page":"173","DOI":"10.1007\/BF01887634","article-title":"Parasitic and mycotic causes of biliary obstruction","volume":"7","author":"Uflacker","year":"1982","journal-title":"Gastrointest Radiol"},{"key":"R7-20230717","doi-asserted-by":"crossref","first-page":"139","DOI":"10.1016\/S1052-5157(18)30383-0","article-title":"Endoscopy and biliary parasites","volume":"6","author":"Bhargava","year":"1996","journal-title":"Gastrointest Endosc Clin N Am"},{"key":"R8-20230717","first-page":"77","article-title":"Biliary ascariasis in fifteen patients","volume":"77","author":"Hamaloglu","year":"1992","journal-title":"Int Surg"},{"key":"R9-20230717","first-page":"180","article-title":"Modern techniques in the diagnosis and treatment of gastrointestinal and biliary tree parasites","volume":"38","author":"el Sheikh Mohamed","year":"1991","journal-title":"Hepatogastroenterology"},{"key":"R10-20230717","doi-asserted-by":"crossref","first-page":"222","DOI":"10.1007\/BF01659056","article-title":"Surgical complications of ascariasis","volume":"15","author":"Ochoa","year":"1991","journal-title":"World J Surg"},{"key":"R11-20230717","doi-asserted-by":"crossref","first-page":"553","DOI":"10.1016\/S0889-8553(05)70263-6","article-title":"Ascariasis","volume":"25","author":"Khuroo","year":"1996","journal-title":"Gastroenterol Clin North Am"},{"key":"R12-20230717","doi-asserted-by":"crossref","first-page":"299","DOI":"10.1097\/00000658-194602000-00009","article-title":"Biliary ascariasis: report of 19 cases","volume":"123","author":"Yang","year":"1946","journal-title":"Ann Surg"},{"key":"R13-20230717","doi-asserted-by":"crossref","first-page":"1503","DOI":"10.1016\/0140-6736(90)93037-P","article-title":"Hepatobiliary and pancreatic ascariasis in India","volume":"335","author":"Khuroo","year":"1990","journal-title":"Lancet"},{"key":"R14-20230717","doi-asserted-by":"crossref","first-page":"210","DOI":"10.1002\/bjs.1800520317","article-title":"Rupture of hydatid cysts of the liver into the biliary tracts","volume":"52","author":"Harris","year":"1965","journal-title":"Br J Surg"},{"key":"R15-20230717","doi-asserted-by":"crossref","first-page":"124","DOI":"10.1055\/s-2007-1018553","article-title":"Endoscopic retrograde cholangiography (ERCP) and complicated hepatic hydatid cyst in the biliary tract","volume":"16","author":"Vicente","year":"1984","journal-title":"Endoscopy"},{"key":"R16-20230717","doi-asserted-by":"crossref","first-page":"243","DOI":"10.1002\/bjs.1800740405","article-title":"Choledochoduodenostomy for intrabiliary rupture of hydatid cysts of liver","volume":"74","author":"Alper","year":"1987","journal-title":"Br J Surg"},{"key":"R17-20230717","first-page":"327","article-title":"Advances in diagnosis and management of hydatid disease","volume":"37","author":"al Karawi","year":"1990","journal-title":"Hepatogastroenterology"},{"key":"R18-20230717","doi-asserted-by":"crossref","first-page":"175","DOI":"10.3348\/kjr.2001.2.3.175","article-title":"Biliary Ascariasis: MR Cholangiography findings in two cases","volume":"2","author":"Hwang","year":"2001","journal-title":"Korean J Radiol"},{"key":"R19-20230717","doi-asserted-by":"crossref","first-page":"896","DOI":"10.1016\/S0009-9260(03)00291-5","article-title":"Acute biliary obstruction caused by biliary ascariasis in pregnancy: MR cholangiography findings","volume":"58","author":"Alper","year":"2003","journal-title":"Clin Radiol"},{"key":"R20-20230717","doi-asserted-by":"crossref","first-page":"485","DOI":"10.2214\/ajr.139.3.485","article-title":"Sonographic diagnosis of biliary ascariasis","volume":"139","author":"Schulman","year":"1982","journal-title":"AJR Am J Roentgenol"},{"key":"R21-20230717","doi-asserted-by":"crossref","first-page":"261","DOI":"10.1080\/00034983.1995.11812951","article-title":"Sonographic findings in hydatid disease of the liver: comparison with other imaging methods","volume":"89","author":"Suwan","year":"1995","journal-title":"Ann Trop Med Parasitol"},{"key":"R22-20230717","doi-asserted-by":"crossref","first-page":"278","DOI":"10.1055\/s-2007-1010686","article-title":"Endoscopic management of biliary hydatid disease: report on six cases","volume":"23","author":"al Karawi","year":"1991","journal-title":"Endoscopy"},{"key":"R23-20230717","doi-asserted-by":"crossref","first-page":"586","DOI":"10.1111\/j.1572-0241.2003.07229.x","article-title":"Endoscopic sphincterotomy in the management of bile duct stones in children","volume":"98","author":"Zargar","year":"2003","journal-title":"Am J Gastroenterol"},{"key":"R24-20230717","doi-asserted-by":"crossref","first-page":"391","DOI":"10.1097\/01.RVI.0000058417.01661.ac","article-title":"Biliary ascariasis: percutaneous transhepatic management","volume":"14","author":"Ozcan","year":"2003","journal-title":"J Vasc Interv Radiol"}],"container-title":["ACG Case Reports Journal"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ovid.com\/02075970-201905000-00013","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,12]],"date-time":"2026-08-12T15:18:36Z","timestamp":1786547916000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/02075970-201905000-00013"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2019,5]]},"references-count":23,"journal-issue":{"issue":"5","published-online":{"date-parts":[[2019]]}},"URL":"https:\/\/doi.org\/10.14309\/crj.0000000000000082","relation":{},"ISSN":["2326-3253"],"issn-type":[{"value":"2326-3253","type":"electronic"}],"subject":[],"published":{"date-parts":[[2019,5]]}}}