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Ascaris-induced liver abscess.

G Javid1, N A Wani, G M Gulzar

  • 1Department of Gastroenterology, Sher-i-Kashmir Institute of Medical Sciences, Post Box 27, Srinagar 19011, Kashmir (J&K), India.

World Journal of Surgery
|September 29, 1999
PubMed
Summary

Ascaris-induced liver abscess is a rare complication of ascariasis in Kashmir, India. Early diagnosis and surgical intervention are crucial for favorable outcomes in affected children and young adults.

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Area of Science:

  • Hepatology
  • Infectious Diseases
  • Parasitology

Background:

  • Ascariasis is endemic in Kashmir, India.
  • Liver abscess is a serious complication of ascariasis.
  • Biliary ascariasis can lead to liver abscess formation.

Purpose of the Study:

  • To investigate the prevalence, symptoms, and outcomes of Ascaris-induced liver abscess.
  • To identify risk factors and diagnostic methods for this condition.
  • To evaluate treatment strategies and mortality rates.

Main Methods:

  • Prospective study conducted from December 1987 to December 1997.
  • Inclusion of 510 patients with liver abscess.
  • Diagnostic procedures included ultrasonography, clinical evaluation, and laparotomy.

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Main Results:

  • 74 out of 510 liver abscess patients (14.51%) had biliary ascariasis.
  • 11 patients had intact Ascaris worms within the abscess.
  • Mean age of affected patients was 17.20 years; mortality rate was 9.9%.

Conclusions:

  • Ascaris-induced liver abscess is an unusual but significant complication in endemic areas.
  • Early diagnosis and prompt surgical drainage with worm extraction improve patient outcomes.
  • Delayed presentation and treatment are associated with higher mortality.