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Related Experiment Videos

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
PubMed
Summary
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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:

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  • 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.