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[Obstructive jaundice caused by Ascaris lumbricoides].
Zeitschrift Fur Die Gesamte Innere Medizin Und Ihre Grenzgebiete
|December 15, 1990
Summary
Biliary complications from Ascaris lumbricoides are rare in Central Europe. This case study details the endoscopic removal of a roundworm from the common bile duct in an elderly woman.
Area of Science:
- Gastroenterology
- Hepatology
- Parasitology
Background:
- Ascaris lumbricoides infections, while globally prevalent, rarely cause biliary complications in Central Europe.
- Ascariasis-induced biliary obstruction is an uncommon clinical presentation, particularly in developed regions.
Observation:
- An 81-year-old female patient presented with symptoms suggestive of biliary obstruction.
- Diagnostic imaging revealed the presence of a foreign body within the common bile duct.
Findings:
- Endoscopic retrograde cholangiopancreatography (ERCP) successfully identified an Ascaris lumbricoides within the common bile duct.
- The roundworm was successfully removed endoscopically, resolving the biliary obstruction.
Implications:
- This case highlights the importance of considering rare parasitic causes of biliary disease, even in low-prevalence areas.
- Endoscopic intervention offers a minimally invasive and effective treatment for biliary ascariasis.
- Awareness of this rare complication is crucial for clinicians managing biliary tract disorders.