Massive biliary ascariasis: an unusual cause of acute cholangitis.

Szczegóły
Abstrakt

Tytuł:: Massive biliary ascariasis: an unusual cause of acute cholangitis.
Autorzy:: Rujeerapaiboon N; Gastroenterology and Hepatology Unit, Division of Internal Medicine, Faculty of Medicine, Prince of Songkla University, Hatyai, Songkhla, Thailand.
Kaewdech A; Gastroenterology and Hepatology Unit, Division of Internal Medicine, Faculty of Medicine, Prince of Songkla University, Hatyai, Songkhla, Thailand .
Źródło:: BMJ case reports [BMJ Case Rep] 2021 Mar 24; Vol. 14 (3). Date of Electronic Publication: 2021 Mar 24.
Typ publikacji:: Journal Article; Case Reports
Język:: English
Imprint Name(s):: Original Publication: London : BMJ Pub. Group
MeSH Terms:: Ascariasis*/diagnosis
Ascariasis*/diagnostic imaging
Cholangitis*
Choledocholithiasis*
Aged ; Cholangiopancreatography, Endoscopic Retrograde ; Humans ; Male ; Thailand
References:: J Glob Infect Dis. 2014 Apr;6(2):65-72. (PMID: 24926166)
J Hepatobiliary Pancreat Sci. 2018 Jan;25(1):31-40. (PMID: 28941329)
Trop Gastroenterol. 1993 Jul-Sep;14(3):104-8. (PMID: 8109044)
Lancet. 1990 Jun 23;335(8704):1503-6. (PMID: 1972440)
Lancet. 2006 May 6;367(9521):1521-32. (PMID: 16679166)
J Clin Ultrasound. 1992 Nov-Dec;20(9):587-91. (PMID: 1331185)
Gastroenterol Clin Biol. 2002 Nov;26(11):968-72. (PMID: 12483126)
Korean J Radiol. 2001 Jul-Sep;2(3):175-8. (PMID: 11752990)
J Med Assoc Thai. 2002 Jun;85 Suppl 1:S415-23. (PMID: 12188445)
World J Gastrointest Pathophysiol. 2018 Feb 15;9(1):1-7. (PMID: 29487761)
J Tradit Chin Med. 1996 Sep;16(3):194-7. (PMID: 9389118)
Gastroenterology. 1985 Feb;88(2):418-23. (PMID: 3965331)
Clin Radiol. 1993 May;47(5):325-32. (PMID: 8508594)
Case Rep Surg. 2012;2012:561563. (PMID: 22973531)
World J Gastroenterol. 2016 Sep 7;22(33):7507-17. (PMID: 27672273)
Gastroenterol Clin North Am. 1996 Sep;25(3):553-77. (PMID: 8863040)
World J Gastroenterol. 2002 Feb;8(1):150-2. (PMID: 11833092)
Contributed Indexing:: Keywords: endoscopy; infection (gastroenterology); pancreas and biliary tract; tropical medicine (infectious disease)
Entry Date(s):: Date Created: 20210325 Date Completed: 20210514 Latest Revision: 20231031
Update Code:: 20240105
PubMed Central ID:: PMC7993313
DOI:: 10.1136/bcr-2020-239784
PMID:: 33762275
: Czasopismo naukowe

Acute cholangitis is a condition of bacterial infection following hepatobiliary tract obstruction, which signifies poor prognosis unless adequately drained. The most common cause of bile duct obstruction is choledocholithiasis, in contrast to parasitic infestation, a rare entity causing acute cholangitis nowadays. Therefore, we reported the case of a 68-year-old Thai man who presented with acute fever, intense right upper quadrant abdominal pain and jaundice for 2 days. His medical history was normal except for the history of intermittent biliary colic for a year. Endoscopic retrograde cholangiography was performed and demonstrated multiple, creamy-coloured roundworms coming out from the ampulla of Vater as well as a tubular filling defect in dilated common bile duct from cholangiography. He was diagnosed with acute cholangitis by biliary ascariasis and underwent endoscopic parasitic removal, which subsequently improved symptoms.
Competing Interests: Competing interests: None declared.
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