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[Biliary ascaris-induced obstructive jaundice: a case of acute abdomen]

Hayrettin Oztürk1, Hülya Oztürk, Hatun Duran

  • 1Department of Pediatric Surgery, Abant Izzet Baysal University, Faculty of Medicine, Bolu, Turkey. ozturkhayrettin@hotmail.com

Ulusal Travma Ve Acil Cerrahi Dergisi = Turkish Journal of Trauma & Emergency Surgery : TJTES
|January 9, 2009
PubMed

Insights

Biliary ascariasis, a rare complication of Ascaris lumbricoides infection, can mimic acute surgical abdomen in children. Early diagnosis via ultrasound and treatment with mebendazole are crucial for successful outcomes.

Area of Science:

  • Parasitology
  • Pediatric Gastroenterology
  • Hepatobiliary Medicine

Background:

  • Ascaris lumbricoides is a common worldwide helminthic infection.
  • Complications of ascariasis are varied, but biliary tree involvement is rare, particularly in pediatric cases.

Observation:

  • A pediatric case of biliary ascariasis presented with symptoms suggestive of surgical acute abdomen.
  • Diagnosis was confirmed using ultrasound imaging.

Findings:

  • The child with biliary ascariasis was successfully treated with mebendazole and an anti-spasmodic agent.
  • Ultrasound proved effective for diagnosing this rare condition in a child.

Implications:

  • Biliary ascariasis should be considered in the differential diagnosis of acute abdominal pain in children from endemic regions.
  • This case highlights the importance of considering parasitic infections in pediatric abdominal emergencies.

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