Ascaris Lumbricoides Infestation as an Unexpected Cause of Acute Pancreatitis

Hussain, Taimoor; Walizada, Khalida; Khan, Tuba; Khan, Rajeswari; Mushtaq, Zahra

doi:10.7759/cureus.12103

Cited by 3 publications

(4 citation statements)

References 6 publications

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“…When all the above causes rule out, one should think of parasites. Hussain et al case report demonstrates the worms being the cause of acute pancreatitis in a 25‐year‐old man 12 . A similar case series has been published in the International Journal of Medical Research & Health Sciences which showed that in cases of acute pancreatitis where other causes are ruled out, endoscopic retrograde cholangiopancreatography (ERCP), an invasive procedure, should be performed, as the investigation to look for ascariasis‐induced acute pancreatitis, but no case has been reported in which ultrasonography, a noninvasive procedure was able to detect the roundworms and was treated empirically 13 .…”

Section: Discussionmentioning

confidence: 99%

“…Hussain et al case report demonstrates the worms being the cause of acute pancreatitis in a 25‐year‐old man. 12 A similar case series has been published in the International Journal of Medical Research & Health Sciences which showed that in cases of acute pancreatitis where other causes are ruled out, endoscopic retrograde cholangiopancreatography (ERCP), an invasive procedure, should be performed, as the investigation to look for ascariasis‐induced acute pancreatitis, but no case has been reported in which ultrasonography, a noninvasive procedure was able to detect the roundworms and was treated empirically. 13 This should be considered as an initial diagnosis measure, and when suspicion is too high and initial scan is normal, repeat scans should be performed to diagnose and prevent complications of intestinal obstruction to save the patient from invasive procedures and its side effects.…”

Section: Discussionmentioning

confidence: 99%

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Noninvasive diagnosis of Ascaris lumbricoides in the common bile duct: A pediatric case report of acute pancreatitis

Samir,

Subash,

Subash

et al. 2023

Clinical Case Reports

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Key Clinical MessageThis case report highlights the importance of considering parasitic infections, particularly Ascaris lumbricoides, as a possible cause of acute pancreatitis in children, especially in endemic regions. Noninvasive imaging techniques, such as ultrasonography, can play a crucial role in the early detection and diagnosis of this unusual presentation. Timely administration of anthelmintic therapy led to the resolution of symptoms and prevented the need for invasive procedures. Healthcare providers should be vigilant about the diverse clinical manifestations of ascariasis, and regular deworming programs and health education are essential in minimizing the burden of this neglected tropical disease among children.AbstractAscariasis is a common public health problem globally but it is more prevalent in school‐age children and it often goes undiagnosed, leading to severe complications. The purpose of this report is to spread awareness of its unusual presentation and how to judiciously use noninvasive approaches for its diagnosis. We present a case of a 10‐year‐old girl that was presented in pediatric emergency with gradually worsening epigastric pain. Initial lab work‐up showed elevated pancreatic enzymes which lead to the diagnosis of acute pancreatitis. The patient was managed in the line of acute pancreatitis and with further evaluation by imaging techniques such as ultrasound and CT‐scan abdomen, Ascaris lumbricoides (A. lumbricoides) was visualized. She was then treated with prophylactic antibiotics and antiparasitic medications, which resolved her symptoms and the child responded to the treatment. In children, parasites should be considered as a cause of acute pancreatitis by clinicians, especially in low‐income countries, and before performing invasive procedures, noninvasive approaches should be considered as an initial option. This can save the patient from multiple invasive procedure and its severe complications.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Noninvasive diagnosis of Ascaris lumbricoides in the common bile duct: A pediatric case report of acute pancreatitis

Samir,

Subash,

Subash

et al. 2023

Clinical Case Reports

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“…Therefore, ascariasis should be considered as a possible cause of acute pancreatitis, especially in regions where the prevalence of ascariasis is high or sanitation and hygiene are poor [ 8 ]. Few cases of pancreatic ascariasis have also been reported from non-endemic countries [ 9 , 10 ].…”

Section: Discussionmentioning

confidence: 99%

A Patient With Idiopathic Recurrent Acute Pancreatitis Demystified by Endoscopic Ultrasound

Samanta,

Debnath,

Sethy

et al. 2024

Cureus

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Ascariasis is a common helminthic infection, especially in India. Though it is known to inhabit the jejunum of the small intestine, it may invade the hepato-biliary and pancreatic ducts, causing a spectrum of clinical manifestations. We present a case of idiopathic recurrent acute pancreatitis in a 61-year-old female patient who was later diagnosed with pancreatic ascariasis using endoscopic ultrasound. This emphasizes the possibility of ascariasis as one of the causes of acute pancreatitis and the use of endoscopic ultrasound as an initial diagnostic tool for the evaluation of idiopathic acute pancreatitis.

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“…Hussain, et al [29] reported a case of AP due to ascariasis wherein a twenty-five-year-old male patient presented with a chief complaint of acute epigastric pain radiating to the back associated with vomiting. Initial lab investigations revealed increased serum amylase and lipase.…”

Section: Case Series On Parasitic Causes Of Ap Ascaris Lumbricoidesmentioning

confidence: 99%

A Review on Parasitic Causes of Acute Pancreatitis

Yuvaraj¹

2022

AJGH

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Ascaris Lumbricoides Infestation as an Unexpected Cause of Acute Pancreatitis

Cited by 3 publications

References 6 publications

Noninvasive diagnosis of Ascaris lumbricoides in the common bile duct: A pediatric case report of acute pancreatitis

Noninvasive diagnosis of Ascaris lumbricoides in the common bile duct: A pediatric case report of acute pancreatitis

A Patient With Idiopathic Recurrent Acute Pancreatitis Demystified by Endoscopic Ultrasound

A Review on Parasitic Causes of Acute Pancreatitis

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