Pancreatitis is a common disease in the United States, with the most likely
etiologies being biliary tract disease and alcohol use. Infections with pa
rasites such as Ascaris lumbricoides comprise a small percentage of pancrea
titis cases in the United States, but they are a common etiology in develop
ing countries, In the United States, the incidence of pancreatic and biliar
y ascariasis has been increasing because of the migration of people from en
demic countries, as well as increased travel by Americans to such countries
. Patients treated for this roundworm can have reinvasion for the same reas
ons. We report the case of a patient with two episodes of pancreatitis due
to A lumbricoides 2 years apart.