{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,15]],"date-time":"2026-04-15T18:04:56Z","timestamp":1776276296562,"version":"3.50.1"},"reference-count":23,"publisher":"MDPI AG","issue":"6","license":[{"start":{"date-parts":[[2024,5,30]],"date-time":"2024-05-30T00:00:00Z","timestamp":1717027200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Medicina"],"abstract":"<jats:p>Hepatobiliary ascariasis is caused by the entry of the nematode A. lumbricoides from the duodenum into the biliary duct. We report a case of an Ascaris-induced extrahepatic biliary tract obstruction in a pediatric patient admitted to the hospital due to a wide spectrum of symptoms of biliary disease, which included abdominal pain in the upper abdominal quadrants, vomiting, and jaundice. Imaging tests\u2014including ultrasound, magnetic resonance cholangiopancreatography (MRCP), and endoscopic retrograde cholangiopancreatography (ERCP)\u2014were performed to confirm the diagnosis of biliary ascariasis. The tests did, in fact, demonstrate signs of this disease. Nevertheless, during the ERCP, only the remains of Ascaris parasites in the form of tissue fragments were extracted. We also aim to discuss the prevalence of ascariasis in children, the causes of migration of Ascaris parasites into the bile ducts, together with its clinical manifestations, as well as the diagnostic and treatment methods of this disease.<\/jats:p>","DOI":"10.3390\/medicina60060916","type":"journal-article","created":{"date-parts":[[2024,6,3]],"date-time":"2024-06-03T12:19:46Z","timestamp":1717417186000},"page":"916","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":7,"title":["Biliary Ascariasis in a Pediatric Patient in Lithuania: Case Report and Literature Review"],"prefix":"10.3390","volume":"60","author":[{"given":"R\u016bta","family":"Rokait\u0117","sequence":"first","affiliation":[{"name":"Department of Pediatrics, Medical Academy, Lithuanian University of Health Sciences, LT 44307 Kaunas, Lithuania"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mindaugas","family":"D\u017eenkaitis","sequence":"additional","affiliation":[{"name":"School of Medicine, College of Health and Agricultural Sciences, University College Dublin, Belfield, D04 V1W8 Dublin, Ireland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Melita","family":"Nedzinskait\u0117","sequence":"additional","affiliation":[{"name":"Department of Pediatrics, Medical Academy, Lithuanian University of Health Sciences, LT 44307 Kaunas, Lithuania"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"R\u016bta","family":"Ku\u010dinskien\u0117","sequence":"additional","affiliation":[{"name":"Department of Pediatrics, Medical Academy, Lithuanian University of Health Sciences, LT 44307 Kaunas, Lithuania"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1968","published-online":{"date-parts":[[2024,5,30]]},"reference":[{"key":"ref_1","unstructured":"World Health Organization (2023, December 08). Soil-Transmitted Helminth Infections. Available online: https:\/\/www.who.int\/news-room\/fact-sheets\/detail\/soil-transmitted-helminth-infections."},{"key":"ref_2","unstructured":"Leder, K., Weller, P.F., and Reddy, D.N. (2023, December 08). Ascariasis. UpToDate. Available online: https:\/\/www.uptodate.com\/contents\/ascariasis?search=ascariasis&source=search_result&selectedTitle=1%7E46&usage_type=default&display_rank=1."},{"key":"ref_3","unstructured":"De Lima Corvino, D.F., and Horrall, S. (2023, December 08). Ascariasis. StatPearls, Available online: https:\/\/www.ncbi.nlm.nih.gov\/books\/NBK430796\/."},{"key":"ref_4","unstructured":"(2023, December 08). Nacionalinis Visuomen\u0117s Sveikatos Centras Prie Sveikatos Apsaugos Ministerijos. Available online: https:\/\/nvsc.lrv.lt\/lt\/uzkreciamuju-ligu-valdymas\/uzkreciamosios-ligos\/ligu-aprasai-pagal-abecele\/a\/askaridoze\/."},{"key":"ref_5","doi-asserted-by":"crossref","first-page":"7507","DOI":"10.3748\/wjg.v22.i33.7507","article-title":"Hepatobiliary and pancreatic ascariasis","volume":"22","author":"Khuroo","year":"2016","journal-title":"World J. Gastroenterol."},{"key":"ref_6","doi-asserted-by":"crossref","first-page":"129","DOI":"10.4103\/0971-9261.27240","article-title":"Our experience of biliary ascariasis in children","volume":"11","author":"Wani","year":"2006","journal-title":"J. Indian Assoc. Pediatr. Surg."},{"key":"ref_7","doi-asserted-by":"crossref","first-page":"65","DOI":"10.4103\/0974-777X.132042","article-title":"Hepatic and Biliary Ascariasis","volume":"6","author":"Das","year":"2014","journal-title":"J. Glob. Infect. Dis."},{"key":"ref_8","doi-asserted-by":"crossref","first-page":"224","DOI":"10.1159\/000489486","article-title":"Ascaris lumbricoides: A Startling Discovery during Screening Colonoscopy","volume":"12","author":"Shah","year":"2018","journal-title":"Case Rep. Gastroenterol."},{"key":"ref_9","first-page":"8201398","article-title":"Successful Management of Biliary Ascariasis in a High-Endemic Zone and Low-Resource Setting in Ethiopia","volume":"2022","author":"Asfaw","year":"2022","journal-title":"Case Rep. Infect. Dis."},{"key":"ref_10","doi-asserted-by":"crossref","first-page":"1143","DOI":"10.1007\/s002680010187","article-title":"Postoperative biliary ascariasis: Presentation and management-experience","volume":"24","author":"Wani","year":"2000","journal-title":"World J. Surg."},{"key":"ref_11","doi-asserted-by":"crossref","first-page":"25","DOI":"10.4103\/1319-3767.30462","article-title":"Biliary ascariasis: Report of a complicated case and literature review","volume":"13","author":"Sanai","year":"2007","journal-title":"Saudi. J. Gastroenterol."},{"key":"ref_12","first-page":"18","article-title":"Parasitosis in the bile duct, report of 3 cases and literature review","volume":"81","year":"2018","journal-title":"Rev. Med. Host. Gen. Mex."},{"key":"ref_13","doi-asserted-by":"crossref","first-page":"252","DOI":"10.1016\/S0140-6736(17)31930-X","article-title":"Soil-transmitted helminth infections","volume":"391","author":"Jourdan","year":"2018","journal-title":"Lancet"},{"key":"ref_14","first-page":"21388","article-title":"Common Bile Duct Obstruction due to Ascariasis","volume":"28","author":"Bhattacharya","year":"2020","journal-title":"Biomed. J. Sci. Tech. Res."},{"key":"ref_15","first-page":"17","article-title":"A review on laboratory liver function tests","volume":"3","author":"Gowda","year":"2009","journal-title":"Pan Afr. Med. J."},{"key":"ref_16","doi-asserted-by":"crossref","first-page":"82","DOI":"10.4103\/0972-9941.58504","article-title":"Laparoscopic exploration of the common bile duct and removal of dead worm in a patient of cholangitis after endoscopic retrograde cholangiopancreatography failure","volume":"5","author":"Chalkoo","year":"2009","journal-title":"J. Minimal Access Surg."},{"key":"ref_17","doi-asserted-by":"crossref","first-page":"289","DOI":"10.1016\/S0035-9203(01)90236-6","article-title":"Serodiagnosis of ascariasis with specific IgG4 antibody and its use in an epidemiological study","volume":"95","author":"Santra","year":"2001","journal-title":"Trans. R Soc. Trop Med. Hyg."},{"key":"ref_18","doi-asserted-by":"crossref","first-page":"275","DOI":"10.1016\/j.crad.2010.11.004","article-title":"3T MR cholangiopancreatography appearances of biliary ascariasis","volume":"66","author":"Ding","year":"2011","journal-title":"Clin. Radiol."},{"key":"ref_19","doi-asserted-by":"crossref","first-page":"83","DOI":"10.51866\/cr1078","article-title":"Biliary ascariasis\u2014A vicious cycle","volume":"16","author":"Husin","year":"2021","journal-title":"Malays. Fam. Physician"},{"key":"ref_20","doi-asserted-by":"crossref","first-page":"164","DOI":"10.1016\/j.ajg.2020.11.002","article-title":"Treatment response and long-term outcomes in biliary ascariasis: A prospective study","volume":"22","author":"Patra","year":"2021","journal-title":"Arab. J. Gastroenterol."},{"key":"ref_21","doi-asserted-by":"crossref","first-page":"1500","DOI":"10.1007\/s00268-005-0309-1","article-title":"Biliary ascariasis: A review","volume":"30","author":"Shah","year":"2006","journal-title":"World J. Surg."},{"key":"ref_22","first-page":"C28","article-title":"Hepatobiliary and pancreatic ascariasis","volume":"20","author":"Khuroo","year":"2001","journal-title":"Indian J. Gastroenterol."},{"key":"ref_23","first-page":"281","article-title":"Hepatobiliary and Pancreatic Duct Ascariasis: An Unusual Cause of Obstructive Jaundice and Severe Acute Cholangitis","volume":"15","author":"Temesgen","year":"2022","journal-title":"Int. Med. Case Rep. J."}],"container-title":["Medicina"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.mdpi.com\/1648-9144\/60\/6\/916\/pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,10]],"date-time":"2025-10-10T14:51:27Z","timestamp":1760107887000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.mdpi.com\/1648-9144\/60\/6\/916"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,5,30]]},"references-count":23,"journal-issue":{"issue":"6","published-online":{"date-parts":[[2024,6]]}},"alternative-id":["medicina60060916"],"URL":"https:\/\/doi.org\/10.3390\/medicina60060916","relation":{},"ISSN":["1648-9144"],"issn-type":[{"value":"1648-9144","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,5,30]]}}}