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Rare presentation of haemobilia and Loeffler’s pneumonia in a child by ascaris lumbricoides
  1. Huma Arshad Cheema,
  2. Nadia Waheed and
  3. Anjum Saeed
  1. Department of Pediatric Medicine, Division of Pediatric Gastroenterology, Hepatology & Nutrition, The Children’s Hospital & The Institute of Child Health, Lahore, Pakistan
  1. Correspondence to Dr Anjum Saeed, anjuj2002{at}


Ascariasis is a soil-sourced, second most common parasitic infection worldwide. Because of its wandering nature, it migrates from the intestine to other organs of the body like the lungs and biliary system. This results in complications such as biliary colic, acute cholecystitis, pyogenic cholangitis, liver abscesses, pancreatitis and loeffler’s pneumonia. We report a unique case of an 8-year-old boy who presented with upper gastrointestinal bleed and chest infection. He was diagnosed as haemobilia and loeffler’s pneumonia caused by ascaris lumbricoides.

  • paediatrics
  • gi bleeding
  • pneumonia (respiratory medicine)
  • biliary intervention
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  • Contributors HAC: critical review and editing. NW: manuscript design and writer. AS: initial review and editing.

  • 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; externally peer reviewed.

  • Patient consent for publication Obtained.

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