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Biliary ascariasis: an unexpected cause of abdominal pain in a non-endemic region
  1. James Hong-En Kang1,
  2. Jessica Sue Yi Wong2,
  3. Aamir Saleem1,
  4. Matthew Williams1
  1. 1Gastroenterology, James Paget University Hospitals NHS Foundation Trust, Great Yarmouth, UK
  2. 2Haematology, James Paget University Hospital NHS Foundation Trust, Great Yarmouth, UK
  1. Correspondence to Dr James Hong-En Kang, James Paget University Hospital NHS Foundation Trust, Great Yarmouth NR31 6LA, UK; james.kang{at}

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A 24-year-old man presented with 8 months of intermittent right hypochondrial pain with fever and jaundice for 1 week. Liver function tests showed a mixed hepatitic/cholestatic pattern: alanine transaminase 579 IU/L, alkaline phosphatase 183 IU/L, gamma-glutamyltransferase 390 IU/L and bilirubin 126 μmol/L. Full blood count, C-reactive protein, urea and electrolytes, clotting, blood cultures and hepatitis screen were normal or negative.

Abdominal ultrasound (US) revealed strand-like structures within the gall bladder, but no gallstones (figure 1A,B …

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  • Contributors JH-EK conceived the idea for the case report and wrote the first draft of the manuscript. All authors reviewed and amended the manuscript.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Provenance and peer review Not commissioned; internally peer reviewed.

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