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Pancreatitis with gallbladder ascariasis in a child: case report
M M Tiao1, C D Liang, S C Huang
1Department of Pediatrics, Chang Gung Children's Hospital, 123 Ta-Pei Road, Niaosung, Kaohsiung, Taiwan, R.O.C. tiau1@tpts8.seed.net.tw
Chang Gung Medical Journal
|April 13, 2001
Summary
Ascaris infection in a child caused pancreatitis and gallbladder wall thickening. Ultrasound diagnosed the rare condition, highlighting the need for early intervention to prevent complications.
Area of Science:
- Pediatric Gastroenterology
- Infectious Diseases
- Medical Imaging
Background:
- Ascariasis is a common intestinal nematode infection, but complications like pancreatitis and gallbladder involvement are rare, especially in children.
- Early diagnosis and prompt management are crucial for preventing severe morbidity associated with Ascaris-induced complications.
Observation:
- A 10-year-old girl presented with a week of abdominal pain, vomiting with visible Ascaris, and diarrhea.
- Abdominal sonography revealed mild pancreatic enlargement, gallbladder wall thickening, and a mobile, echogenic structure within the gallbladder wall, consistent with Ascaris.
Findings:
- The case highlights a rare presentation of pediatric pancreatitis secondary to Ascaris infection.
- Sonography successfully identified an Ascaris within the thickened gallbladder wall, demonstrating its utility in diagnosing unusual parasitic infestations.
Implications:
- This case underscores the importance of considering parasitic infections in pediatric patients with unexplained abdominal pain and gastrointestinal symptoms.
- Prompt sonographic evaluation is vital for early detection of Ascaris complications, enabling timely surgical or medical intervention to avert potentially life-threatening outcomes.
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