ROUNDWORM OBSTRUCTION OF THE HEPATIC LIMB OF A ROUX-EN-Y ANASTOMOSIS

A 7-year-old female with a type I choledochal cyst underwent an explor atory laparotomy. A Roux-en-Y choledochojejunostomy was done following cyst excision. The patient was re-explored 8 days later for an anasto motic bile leak and high fever. A round-worm was found obstructing the jejunal lumen at the porta hepatis, resulting in a biliary leak. Vari ous aspects of biliary ascariasis are discussed along with the case re port.