Postoperative Biliary Ascariasis: Presentation and Management—Experience

Wani, Nazir A.; Shah, Omar Javed; Naqash, Sameer H.

doi:10.1007/s002680010187

Cited by 24 publications

(28 citation statements)

References 7 publications

(8 reference statements)

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“…It can cause biliary colic, acute cholecystitis, acute cholangitis, acute pancreatitis, and hepatic abscess [34]. Ascariasis can also cause postcholecystectomy syndrome [35]. Parasitic diseases usually present with characteristic imaging findings.…”

Section: Discussionmentioning

confidence: 99%

Endoscopic Management of Biliary Parasitic Diseases

et al. 2009

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Section: Discussionmentioning

confidence: 99%

Endoscopic Management of Biliary Parasitic Diseases

et al. 2009

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“…1,9 Management of biliary ascariasis consists of administration of intravenous fluids, broad spectrum intravenous antibiotics indicated if signs of cholangitis presented and early intervention with ERCP followed by antihelminthic medication will reduce morbidity and mortality including recurrence rate in the future. [10][11][12]…”

Section: Discussionmentioning

confidence: 99%

A rare case of acute pancreatitis due to roundworm infestation

Parasher

2019

Int J Adv Med

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Roundworm or Ascaris lumbricoides is one of the most common parasitic infestations of the human gastrointestinal tract occurring particularly in tropical and temperate countries having hot and humid conditions. On rare occasions, it may invade the biliary tract and the main pancreatic duct causing obstruction and leading to acute pancreatitis. Here, a similar case is presented of a patient who presented with symptoms of acute abdomen and vomiting, with imaging suggestive of roundworm infestation in the main pancreatic duct and who later improved with supportive care.

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“…This patient received flushing therapy which was successful. This method has been well tried by us in the past with excellent results [18]. Worm reinfections are very common though routine anthelmintic therapy may help in decreasing the worm load but the effect on worm reinvasion is not that profound.…”

Section: Discussionmentioning

confidence: 99%

Biliary Ascariasis as a Cause of Post-Cholecystectomy Syndrome in an Endemic Area

et al. 2004

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Background: Post-cholecystectomy syndrome encompasses numerous biliary, pancreatic and other entities. Biliary ascariasis is a common cause of adult biliary disease in an endemic area. Post-cholecystectomy biliary ascariasis, a cause of post- cholecystectomy syndrome although not yet defined is frequently seen in this part of the world. Method: Between Jan. 1990 and Jan. 2001, 104 cases of post-cholecystectomy biliary ascariasis were seen. Ultrasonography was found to be an excellent tool for diagnosing and monitoring of the worms inside the biliary tract. Endoscopic retrograde cholangiopancreatography had both diagnostic and therapeutic value. Results: The majority (68.2%) of patients responded to conservative treatment. Surgical treatment was advocated in 18.2%, which included 2 patients with liver abscesses. Endoscopic extraction of worms was successful in 48.2%. Conclusion: Post-cholecystectomy biliary ascariasis as a cause of post-cholecystectomy syndrome needs to be included in the list of causes for post-cholecystectomy syndrome. Although the majority of patients respond to conservative treatment but endoscopic extraction or surgical intervention may be needed. Routine deworming of patients undergoing cholecystectomy both preoperatively and postoperatively should be done in all patients in endemic areas of ascariasis. Although this entity is rare in Europe and United States, due to population migration and increased travel, it is necessary for surgeons in these countries to be aware of this condition.

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Postoperative Biliary Ascariasis: Presentation and Management—Experience

Cited by 24 publications

References 7 publications

Endoscopic Management of Biliary Parasitic Diseases

Endoscopic Management of Biliary Parasitic Diseases

A rare case of acute pancreatitis due to roundworm infestation

Biliary Ascariasis as a Cause of Post-Cholecystectomy Syndrome in an Endemic Area

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