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Varied presentation of biliary ascariasis and its consequences
1Department of Surgery, SBMCH, Barisal.
Mymensingh Medical Journal : MMJ
|August 1, 2006
Summary
Gallstones are common in women, often causing abdominal pain and jaundice. Diagnosis relies on ultrasonography, with most patients treated conservatively or with surgery.
Area of Science:
- Gastroenterology
- Abdominal Surgery
Background:
- Gallstones (cholelithiasis) are a significant cause of morbidity, particularly in certain demographics.
- Understanding the clinical presentation and management of gallstones is crucial for surgical departments, especially in resource-limited settings.
Purpose of the Study:
- To investigate the clinical profile and management outcomes of patients with gallstones.
- To identify the common symptoms and complications associated with gallstones in the study population.
Main Methods:
- Prospective study conducted at Sher-E-Bangla Medical College hospital from September 2004 to June 2005.
- Twenty patients diagnosed with gallstones were included.
- Ultrasonography was the primary diagnostic tool due to the unavailability of ERCP and the cost of CT scans.
Main Results:
- The majority of patients (80%) presented with recurrent upper abdominal pain.
- Other common presentations included acute cholecystitis (30%), obstructive jaundice (25%), and cholangitis (25%).
- Females were predominantly affected (M:F ratio of 1:4).
Conclusions:
- Gallstones disproportionately affect females and commonly manifest as abdominal pain.
- Ultrasonography is an effective diagnostic tool in resource-limited settings.
- Conservative management or surgical intervention are key treatment modalities for gallstones.
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