A Case of Biliary Ascariasis in Korea.
10.3347/kjp.2017.55.6.659
- Author:
Jun Ho CHOI
1
;
Min SEO
Author Information
1. Division of Gastroenterology, Department of Internal Medicine, Dankook University College of Medicine, Dankook University Hospital, Cheonan 31116, Korea.
- Publication Type:Case Reports
- Keywords:
Ascaris lumbricoides;
biliary ascariasis;
RUQ pain;
ERCP
- MeSH:
Adult;
Aged;
Ascariasis*;
Ascaris lumbricoides;
Cholangiopancreatography, Endoscopic Retrograde;
Colic;
Emergency Service, Hospital;
Female;
Hepatic Duct, Common;
Humans;
Incidence;
Korea*;
Male
- From:The Korean Journal of Parasitology
2017;55(6):659-660
- CountryRepublic of Korea
- Language:English
-
Abstract:
Biliary ascariasis is still the leading cause of surgical complication of ascariasis, though its incidence has been dramatically reduced. Herein, we report a case of biliary ascariasis for the purpose of enhancing awareness of parasitic infections as a possible cause. A 72-year-old male visited the emergency room of Dankook University Hospital on 12 July 2015, complaining of right-upper-quadrant pain. By endoscopic retrograde cholangiopancreatography (ERCP), a tubular filling defect in the right hepatic duct was detected. The defect was endoscopically removed and diagnosed as an adult female of Ascaris lumbricoides worm, of 30 cm length. Upon removal of the worm, the pain subsided, and the patient was discharged without any complication. When treating cases of biliary colic, physicians should not neglect biliary ascariasis as the possible cause.
