Recurrent pyogenic cholangitis is the most common
complication of liver fluke infection. Acute suppurative
cholangitis may be caused by blockage of the extrahepatic
bile ducts by masses of dead worms, ova and mucin, and this
in turn results in ascending cholangitis[13]. When the bile
flow is bedfast by flukes per se, the ova and the excreta of the
flukes and