Ascariasis of the Biliary System

Pfeffermann, R; Floman, Yizhar; Rozin, R

doi:10.1001/archsurg.1972.04180070116025

Cited by 8 publications

(2 citation statements)

References 7 publications

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“…D Postdilatation effect with some improvement in the left and right hepatic radicles with no major residual candidial fragments in the common bile duct and contrast medium draining freely into the duodenmn nal obstruction m a y occur with massive infestation by worms. A d u l t A. lurnbricoides m a y perforate suture lines or penetrate the bile and pancreatic ducts, causing jaundice, pancreatitis, cholangitis, liver abscess, and cholecystitis [2,7]. S p o n t a n e o u s migration m a y be p r o v o k e d by fever or c h e m o t h e r a p y [2].…”

Section: Ascariasis Of the Biliary Tractmentioning

confidence: 99%

Parasitic and mycotic causes of biliary obstruction

Uflacker¹,

Wholey

Amaral³

et al. 1982

Gastrointest Radiol

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Five cases of parasitic and mycotic infection affecting the biliary tract are reported. Special attention is paid to the radiological presentation of chlonorchiasis, ascariasis, echinococcosis, and candidiasis of the biliary tract. Each entity is briefly described, and the differential diagnosis and specific radiological patterns are discussed. Biliary tract manipulation with a balloon catheter and endoprosthesis is presented as an option for management of the biliary obstruction in some cases.

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Section: Ascariasis Of the Biliary Tractmentioning

confidence: 99%

Parasitic and mycotic causes of biliary obstruction

Uflacker¹,

Wholey

Amaral³

et al. 1982

Gastrointest Radiol

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“…Ascaris lumbricoides is known to cause biliary tract disease: biliary colic, cholangitis, acute cholecystitis, acute pancreatitis [1][2][3][4]. However, so far A. lumbricoides causing liver abscess has been found only in case reports [5][6][7][8].…”

mentioning

confidence: 99%

Ascaris‐induced Liver Abscess

et al. 1999

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The prevalence, symptomatology, and outcome of Ascaris-induced liver abscess was studied prospectively in Kashmir, India, which is an endemic area of ascariasis, from December 1987 to December 1997. Of 510 patients with liver abscess admitted during this period, 74 had biliary ascariasis as the cause (14.51%). Of these 74 patients, 11 had intact ascaridae (live or dead) within the abscess. Six patients had a single abscess, and five had multiple abscesses. Seven patients had associated worms in the bile ducts. Ultrasonography was the main diagnostic procedure used. Ten patients were diagnosed based on clinical and ultrasound findings, and one was diagnosed during laparotomy. Most of the patients were young (age range 3-40 years) with a mean age of 17.20 years. Seven were females, and four were males. Ten patients underwent surgery; nine recovered completely, and one died postoperatively due to septicemia. Another patient died as well: a young child who presented late, was in refractory septic shock following suppurative cholangitis and liver abscess, and could not be taken for surgery. The mortality thus was 9.9%. Liver abscess following invasion of intrahepatic biliary radicles by ascaridae through the ampulla is an unusual complication of an otherwise common disease in Kashmir Valley, affecting children and young adults. The outcome depends on early diagnosis and surgical drainage of the abscess with extraction of worms from the ducts.

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