Varied presentation of biliary ascariasis and its consequences.

It is a prospective study was done in the department of surgery of Sher-E-Bangla Medical College hospital from September 2004 to June 2005. Twenty cases selected for the study. Among 20 cases 16 is female & 4 is male. The age range of the patient was between 20 years to 65 years. Ultrasonography is the main tool of diagnosis. ERCP is not available in this regional hospital. CT scan not done because it is expensive for the poor patient who are the mainly the subject in this study. Eighty percent (16) of the cases present with recurrent upper abdominal pain. Thirty percent (6) with acute Cholecystitis, 25% (5) with obstructive jaundice, 25% (5) with Cholangitis 5% (1) with mild pancreatitis, 5% (1) with perforation of hollow viscus and 5% (1) with hepatolithiasis. Seventy percent (14) of the cases treated conservatively 25% (5) cases have under gone routine elective operation and 5% (1) cases have under gone emergency operation. Females are the common victims (M:F-1:4). Provision of safe drinking water, regular deworming and improvement of personal hygiene can largely reduces the dreadful consequences due to infestation by worm.