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Obstructive biliary ascariasis with cholangitis and hepatic abscesses in Laos: a case report with gall bladder

Günther Slesak1, Pathmani Phanthavong, Oroth Rasphone

  • 1SFE, Luang Namtha Provincial Hospital, Luang Namtha, Lao People's Democratic Republic. guentherslesak@web.de <guentherslesak@web.de>

The Journal of Infection
|February 24, 2007
PubMed

Insights

A 12-year-old boy experienced severe complications from a biliary Ascaris infection, including cholangitis, pleural effusion, and liver abscesses. This case highlights the serious risks associated with parasitic worms obstructing the biliary system.

Area of Science:

  • Medicine
  • Parasitology
  • Gastroenterology

Background:

  • Ascariasis is a common helminthic infection globally, particularly in regions with poor sanitation.
  • Biliary ascariasis, while less common, can lead to significant morbidity due to obstruction.

Observation:

  • A pediatric case of obstructive biliary Ascaris infection presenting with severe complications.
  • Gallbladder ultrasound video demonstrating the presence of worms.

Findings:

  • The patient developed obstructive cholangitis, a large right pleural effusion, and hepatic abscesses.
  • Prolonged antibiotic therapy was required to manage the secondary infections.
  • Discussion on the differential diagnosis of gallbladder worms.

Implications:

  • Highlights the potential for severe complications from biliary ascariasis in children.
  • Emphasizes the importance of considering parasitic infections in the differential diagnosis of biliary and hepatic pathology.
  • Underscores the need for prompt diagnosis and management to prevent life-threatening outcomes.

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