Acute acalculous cholecystitis due to Taenia saginata

Helminthic infestation of the human biliary tract is a prominent medical and surgical problem in tropical areas where these parass sites are endemic. The possibility of infestation with biliary parasites demands increased awareness in view of the increase in international travel and migration. Almost all causes of biliary obstruction have been seen and reported from this part of the world. Among parasitic infestations, ascariasis is the usual culprit. We report an unusual presentation of a patient with cholangitis caused by Taenia saginata and describe the surgical management, highlighting the existence of this rare cause of cholangitis as well as the diagnostic and therapeutic dilemma posed by it.