Related Experiment Videos
[Gallbladder ascariasis with acute hepatitis. Conservative treatment].
Alvaro Montiel-Jarquín1, Cristina Carrillo-Ríos, Jesús Flores-Flores
1Departamento de Cirugía General, Hospital General Regional No. 36. "San Alejandro" Instituto Mexicano del Seguro Social, IMSS, Puebla, México. dralmoja@hotmail.com
Cirugia Y Cirujanos
|October 16, 2003
Summary
Gallbladder ascaridiasis, a parasitic infection, can cause acute hepatitis and cholecystitis. Conservative treatment is effective for gallbladder ascaridiasis, requiring careful patient evaluation and monitoring.
Area of Science:
- Hepatology
- Parasitology
- Gastroenterology
Background:
- Gallbladder ascaridiasis is a rare condition where Ascaris lumbricoides infects the gallbladder.
- It can lead to significant hepatobiliary complications, including acute hepatitis and cholecystitis.
Observation:
- Two cases are presented: a middle-aged male and a 10-year-old female, both diagnosed with gallbladder ascaridiasis.
- Symptoms included acute hepatitis and cholecystitis, confirmed by laboratory tests and ultrasonography (US).
Findings:
- Both patients were successfully treated conservatively.
- The male patient's hepatic function normalized, and the helminth was absent from the gallbladder after 8 days.
- The female patient expelled the Ascaris lumbricoides, leading to normalized liver function tests.
Implications:
- Conservative management is a viable option for gallbladder ascaridiasis.
- Treatment decisions should consider the patient's overall condition, medical progress, and co-existing pathologies.
- Close medical and laboratory follow-up is crucial for managing these patients.