History: A 36-year-old female, delivered by lower segment cesarean section two months back, with unremarkable postpartum period, presented with one-week history of pain in the right hypochondrium, fever (with rigors) and malaise. Her past history included an attack of biliary ascariasis three years back when the patient was managed conservatively. She was symptom free for all these years. She had no past or family history of any chronic illnesses, and no surgery prior to the lscs.Abscess containing ascaris in segment 5Ultrasound findings : Liver showed multiple well defined, hypoechoic , round foci with shaggy margins and heterogeneous internal echoes s/o abscesses with echogenic, nonshadowing coiled tubular structures s/o worms within four of these lesions. Findings were confirmed at the time of surgery with drainage of frank pus from these abscess cavities, many of these containing dead worms (Ascaris lumbricoides).
Intrahepatic hepatic biliary radicals (IHBR) and common bile duct (CBD) were normal; Gall bladder was normal; pancreas was normal.CBD and IHBR were normal in calibre.Sabeeha Gul, MD, resident, Department of Radiology andImaging, Sheri-Kashmir Institute of Medical Sciences, Srinagar, Jammu and Kashmir, India