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Biliary Ascariasis in children
J Alam1, M D Wazir, Z Muhammad
1Peads A Unit, Ayub Teaching Hospital, Abbottabad.
Journal of Ayub Medical College, Abbottabad : JAMC
|December 6, 2001
Summary
Biliary Ascariasis, a rare complication of common ascariasis, presents with abdominal pain. Ultrasound is effective for diagnosis, and piperazine treatment resolves symptoms quickly.
Area of Science:
- Gastroenterology
- Parasitology
- Pediatrics
Background:
- Ascariasis is highly prevalent in the region.
- Biliary Ascariasis is an uncommon but significant extra-intestinal complication.
Purpose of the Study:
- To investigate the clinical presentation, diagnosis, and management of Biliary Ascariasis.
- To evaluate the utility of ultrasound in diagnosing Biliary Ascariasis.
Main Methods:
- A case series of five patients with Biliary Ascariasis was conducted.
- Clinical evaluation, stool examination, LFTs, CP, and abdominal ultrasound were performed.
- Treatment involved piperazine and spasmolytics, with surgical consultation.
Main Results:
- The most frequent symptom was right upper quadrant abdominal pain.
- Two cases developed complications (cholecystitis, portal empyema) treated with antibiotics.
- All patients improved within 48 hours; ultrasound proved reliable for diagnosis and follow-up.
Conclusions:
- Biliary Ascariasis requires prompt diagnosis and management.
- Piperazine is effective in treating Biliary Ascariasis.
- Ultrasound is a valuable diagnostic tool for Biliary Ascariasis.