Endoscopic management of biliary ascariasis: A case report.

World J Clin Cases

Department of Hepatobiliary Surgery, The Affiliated Cancer Hospital of Guizhou Medical University, Guiyang 550001, Guizhou Province, China.

Published: July 2021

AI Article Synopsis

  • Biliary ascariasis is a rare parasitic infection, more commonly found in remote areas and among individuals with poor health.
  • A case involving a 68-year-old woman who experienced right upper abdominal pain led to the identification of biliary ascariasis through ultrasound and subsequent treatment, which involved removing an adult worm from her bile duct.
  • The report highlights the importance of considering biliary ascariasis as a potential diagnosis for patients presenting with biliary colic symptoms to ensure proper treatment.

Article Abstract

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 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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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC8281397PMC
http://dx.doi.org/10.12998/wjcc.v9.i20.5695DOI Listing

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