Biliary ascariasis in fifteen patients

Area of Science:

• Hepatobiliary Surgery
• Parasitology
• Gastroenterology

Background:

• Ascariasis infestation of the biliary tract is a significant cause of hepatobiliary and pancreatic diseases.
• Complications include cholecystitis, pancreatitis, and common bile duct obstruction.

Purpose of the Study:

• To retrospectively evaluate the clinical features, diagnostic findings, and surgical management of patients with biliary ascariasis.
• To analyze the outcomes of surgical interventions for biliary ascariasis.

Main Methods:

• Retrospective review of 15 patients diagnosed with biliary ascariasis.
• Analysis of clinical presentations, radiological findings, and surgical procedures performed.
• Evaluation of patient outcomes and complications.

Main Results:

• Obstructive jaundice occurred in 53.3% of patients, acute cholecystitis in 33.3%, and chronic calculous cholecystitis in 13.3%.
• Acute cholangitis was observed in 4 patients with obstructive jaundice.
• Associated conditions included hepatic abscess (2 patients) and hydatid cyst (1 patient).
• All 15 patients underwent surgery, with common procedures including choledochotomy and primary closure (40%) and choledochoduodenostomy (40%).

Conclusions:

• Biliary ascariasis presents with diverse clinical manifestations, frequently involving obstructive jaundice and cholecystitis.
• Surgical management is essential for treating biliary ascariasis and its complications.
• Effective surgical strategies can lead to favorable outcomes without mortality.