Biliary ascariasis: particular cause of biliary tract infection

Wang, Yanting; Liu, Jinheng

doi:10.21037/hbsn.2019.11.01

Cited by 2 publications

(4 citation statements)

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“…The best method to treat biliary Ascaris is Endoscopic retrograde cholangiopancreatography (ERCP) in combination with anthelminthic medications. ERCP is an alternate technique for detection that can also be used to remove Ascaris from the pancreatic ducts and intestinal lumen [14]. Such intervention was also performed in our case to remove Ascaris Lumbricoides.…”

Section: Discussionmentioning

confidence: 94%

“…Currently, three major treatment approaches have been identified to manage Ascaris lumbricoides. These include treatments such as using integrated traditional Chinese and Western medicine, surgical treatment, and endoscopic treatment [14]. The non-surgical options for treating biliary ascariasis include choleretic medicine, antibacterial, analgesic, and antispasmodic drugs.…”

Section: Discussionmentioning

confidence: 99%

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Ascaris lumbricoides Infestation of Bile Ducts: Case Report

Sarwar¹,

ALakkad²,

Fawzy

2022

AJRIMPS

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Background: Ascariasis is a common helminthic disease that affects the gastrointestinal tract of human beings and is caused by the Ascaris lumbricoid worm. Most of the time, this parasite resides in the intestinal lumen, but it can occasionally travel to the biliary tract through the ampulla of Vater. The most serious and potentially fatal complication of intestinal ascariasis is biliary ascariasis, which can appear in different ways. Case Report: A non-diabetic, non-alcoholic female reported to the emergency department with a one-day history of abdominal pain and vomiting with worms. The pain began gradually with a score of 7/10 and rapidly deteriorated during the day, reaching 10/10 at the hospital presentation. The patient also had a significant medical history. Before papillotomy, she underwent endoscopic retrograde cholangiopancreatography with the removal of one common bile duct (CBD) stone, but no stent was implanted. She had her laparoscopic cholecystectomy done as well. Laboratory examination revealed normal liver function tests and C-reactive protein. While abdominal ultrasound confirmed the presence of hepatic pericholangitis and on ultrasound imaging, the CBD was found to be enlarged approximately 7 mm in diameter and had a linear tubular structure with centre faint echogenicity and periphery tubularity. The ultimate diagnosis of the patient was cholangitis brought on by Ascaris lumbricoides. After the diagnosis, endoscopic retrograde cholangiopancreatography showed sphincterotomy with CBD dilation. The worm was extracted by grasping it with biopsy forceps and pulled out of the papilla using a balloon catheter. The length of the worm was 18 centimeters. Conclusion: Ascaris is the most frequently occurring disease that can cause biliary complications, such as cholangitis. This case report suggests that cholangitis caused by Ascaris lumbricoides can be successfully treated with the endoscopic approach, indicating that endoscopy could be a viable option to manage ascaris.

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Section: Discussionmentioning

confidence: 94%

Section: Discussionmentioning

confidence: 99%

Ascaris lumbricoides Infestation of Bile Ducts: Case Report

Sarwar¹,

ALakkad²,

Fawzy

2022

AJRIMPS

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“…However, in some remote rural areas, its incidence remains relatively high[ 1 , 2 ]. In China, ascariasis is very common among rural residents[ 3 ].…”

Section: Discussionmentioning

confidence: 99%

“…The treatment of biliary ascariasis involves the following three clinical modalities: "non-surgical treatment with integrated traditional Chinese and Western medicine"; "surgical treatment"; and, "endoscopic treatment"[ 3 ]. Non-surgical treatment of biliary ascariasis includes antispasmodic, analgesic, antibacterial and choleretic agents, which shows slow progress with uncertain therapeutic effect[ 10 , 11 ].…”

Section: Discussionmentioning

confidence: 99%

Endoscopic management of biliary ascariasis: A case report

Wang¹,

Lv²,

Cui³

et al. 2021

WJCC

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BACKGROUND Biliary ascariasis is rare but remains the most common parasitic infection in remote areas and in people with poor medical conditions. Here, we reported a case of biliary ascariasis in order to raise awareness of possible parasitic infections. CASE SUMMARY A 68-year-old female was admitted to the emergency room of the Affiliated Hospital of Guizhou Medical University on 28 September 2017, with chief complaint of pain in the right upper abdomen. Ultrasonography of the abdomen showed that the upper segment of the common bile duct was slightly dilated with parallel tubular structures, indicative of biliary ascariasis. Endoscopic retrograde cholangiopancreatography was performed under general anesthesia on 29 September 2017, and an adult Ascaris lumbricoides worm was observed. After the worm was removed from the bile duct, the patient’s pain immediately subsided. The patient was successfully cured, without any complications. CONCLUSION This report emphasizes the need for physicians to consider biliary ascariasis as a possible cause when treating cases of biliary colic.

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Biliary ascariasis: particular cause of biliary tract infection

Cited by 2 publications

References 0 publications

Ascaris lumbricoides Infestation of Bile Ducts: Case Report

Ascaris lumbricoides Infestation of Bile Ducts: Case Report

Endoscopic management of biliary ascariasis: A case report

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