Biliary Ascariasis From a Rural Setting: A Case Study
- Author:
Sai Sanjeev M
;
Lum LC
- Publication Type:Journal Article
- Keywords:
Biliary tract, ascariasis;
ultrasound;
endoscopic retrograde cholangiopancreatography;
common bile duct
- From:Medicine and Health
2012;7(2):102-106
- CountryMalaysia
- Language:English
-
Abstract:
Ascariasis is a common helminthic infestation in Malaysia, particularly in rural settings. Ascariasis lumbricoides
normally lives in the upper small bowel without
causing symptoms. Complications arise when these worms migrate into the bile duct (biliary ascariasis). A case of biliary ascariasis presenting as biliary colic is
described. Patient presented with 2 days duration of right upper quandrant pain at the district hospital. Initial investigations were suggestive of acute cholecystitis and patient was treated with empirical antibiotics. However, due to worsening symptoms, she was transferred to the nearest tertiary setting. The diagnosis of
helminthic biliary infestation was established using both ultrasound of the hepatobiliary system (HBS), CT-Scan abdomen and endoscopic retrograde cholangiopancreatography
(ERCP). Endoscopic removal of the worm led to rapid resolution of symptoms and patient was discharged home well.
