Hepatobiliary ascaridiasis in a young adult woman

Authors

Keywords:

Ascaris lumbricoides, bile duct, hepatobiliary ascaridiasis, choledocoduodenomy, anastomosis.

Abstract

The case report of a 27 years patient is presented, with history of conventional cholecystectomy for 10 months due to apparent cholecystitis who went to Luis Vernaza Hospital in Guayaquil, Ecuador, presenting jaundice and abdominal pain. Taking into account the clinical, laboratory and imaging findings a sepsis of abdominal focus, cholangitis and choledocolithiasis was diagnosed.  During the surgical intervention the presence of 2 Ascaris lumbricoides and cholesterol calculi in the bile duct was observed, reason why a bilioenteric bypass was carried out.  After some complications such as breathing failure and hemodynamic upset, the patient was discharged from the institution 25 days after the surgery, with follow up in outpatient clinics during 2 months.   

Downloads

Download data is not yet available.

Author Biography

Pedro Xavier Marin Castro, Hospital Luis Vernaza. Guayaquil

Medico General graduado de la Universidad Católica Santiago de Guayaquil Promoción 54
Medico Postgradista de Cirugía General en Hospital Luis Vernaza - Universidad de Especialidades Espíritu Santo

References

1. Murillo Castillo E, López González A. Ascariasis hepatobiliar: informe de caso. Honduras. Rev Med Honduras. 2011 [citado 28/07/2020];79(2):75-8. Disponible en: http://www.bvs.hn/RMH/pdf/2011/pdf/Vol79-2-2011-7.pdf

2.Khuroo M, Khuroo N, Khurro M. Biliary ascariasis in the etiology of recurrent pyogenic cholangitis in an endemic area. India. Int J Hepaotbiliary Pancreat Dis. 2015 [citado 28/07/2020]; 5(1);22-9. Disponible en: https://www.drkhuroo.in/images/RPC%20HBPA%20IJHBPD.pdf

3. Majumdar I, Das J, Mukherjee D. Ascariasis masquerading as obstructive jaundice in an infant- a case report. India. J Pediatr Neonatal Individual Med. 2017 [citado 28/07/2020];6(2). Disponible en: https://jpnim.com/index.php/jpnim/article/view/060216

4. Mansilla Vivar R, Sainza Caballero E, Saldaña Dueñas C, Casanova Ortiz L, Fernandez Urien I, Vila Costas JJ. Biliary ascariasis as etiology of recurrent abdominal pain. Chile. Endoscopy. 2016 [citado 28/07/2020]; 48(Suppl1):196. Disponible en: https://pubmed.ncbi.nlm.nih.gov/27285651/

5. Sharma A, Jariwala P, Kaur N. Biliary ascariasis presenting with gangrenous perforation of the gall bladder: report of a case and brief review of literatura. Tropical Doctor. 2018 [citado 28/07/2020]; 48(3). Disponible en: https://journals.sagepub.com/action/doSearch?target=default&ContribAuthorStored=Sharma%2C+Ankush

6. Sharma M, Showkat A, Somani P. An unusual cause of biliary colic. Gastroenterol. 2017 [citado 28/07/2020];153. Disponible en: https://www.gastrojournal.org/article/S0016-5085(17)30076-8/fulltext

7. Khan N, Wu C, Hu B. Acute pancreatitis: ascarisis in the pancreatic duct. Endoscopy 2018; 50 (1); 119- 20.

8. Sezgin Y, Murat A, Merih S, Nazan O, Ogün E, Ahmet Ali T. Endoscopic retrograde cholangiopancreatography for biliary system parasites. Turk J Surg. 2018 [citado 28/07/2020]; 34 (4);306-10. Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6340658/

9. Bundela V, Gupta P, Mandavdhare HS, Dutta U, Sharma V. An unusual cause of biliary colic: biliary ascariasis. Australia. J Gastroenterol Hepatol. 2018 [citado 28/07/2020];33(1):975. Disponible en: https://onlinelibrary.wiley.com/doi/abs/10.1111/jgh.14094

10. Singh D, Yang S, Cappell M. Biliary ascariasis diagnosed and extractebu ERCP in the United States. USA. ACG Cas Rep J. 2016 [citado 28/07/2020]; 3(4). Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5226187/

Published

2020-11-18

How to Cite

1.
Marin Castro PX, Nuñez Moreno J, Zuñiga Bohórquez J. Hepatobiliary ascaridiasis in a young adult woman. MEDISAN [Internet]. 2020 Nov. 18 [cited 2025 Jun. 4];24(6):1228-36. Available from: https://medisan.sld.cu/index.php/san/article/view/3263