Biliary ascariasis after Roux-en-Y hepaticojejunostomy

The authors report on a 6-year-old girl with biliary ascariasis after surgi cal treatment of a choledochal cyst and biliary-digestive tract reconstruct ion by Roux-en-Y hepaticojejunostomy. A precise diagnosis can be obtained b y ultrasonography. Surgical treatment is required when clinical and endosco pic treatments fail. In countries in which this disease is endemic, biliary ascariasis should be considered in the differential diagnosis of cholangit is after surgery for hepaticojejunostomy. J Pediatr Surg 35:1394-1395. Copy right (C) 2000 by W.B. Saunders Company.