title: Hepatolithiasis with biliary ascariasis--a case report.
abstract: BACKGROUND
  Biliary ascariasis is regarded as possible etiological factor for hepatolithiasis. Here we report one case of a patient with hepatolithiasis with biliary ascariasis who developed a liver abscess, which was treated with partial hepatectomy.
  
  
  METHODS
  A young adult female presented with epigastric pain and vomiting with repeated attacks of cholangitis. ERCP showed evidence of multiple intrahepatic calculi with the development of abscess in the left lobe of liver. The patient underwent partial hepatectomy and was found to have biliary ascariasis on histology. She was treated with antihelmenthic therapy and has had an uneventful postoperative period of 2 years.
  
  
  CONCLUSIONS
  Biliary ascariasis with hepatolithiasis, although rare, should be considered in endemic countries.
authors.affiliation: Department of Pathology, B Y L Nair Charitable Hospital and T N Medical College, Mumbai, India. kirtikumarp@yahoo.com
authors.forename: K S
authors.initials: KS
authors.lastname: Pilankar
authors.forename: A D
authors.initials: AD
authors.lastname: Amarapurkar
authors.forename: R M
authors.initials: RM
authors.lastname: Joshi
authors.forename: T S
authors.initials: TS
authors.lastname: Shetty
authors.forename: A S
authors.initials: AS
authors.lastname: Khithani
authors.forename: V V
authors.initials: VV
authors.lastname: Chemburkar
mesh_terms: D000328:Adult; D001196:Ascariasis / Q000150:complications*; D001660:Biliary Tract Diseases / Q000150:complications*; D002137:Calculi / Q000209:etiology* / Q000473:pathology; D005260:Female; D042882:Gallstones / Q000150:complications; D006498:Hepatectomy; D006801:Humans; D008107:Liver Diseases / Q000209:etiology* / Q000473:pathology / Q000601:surgery