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[Biliary ascariasis as complication after cholecystectomy for cholelithiasis]
A B Smits1, R A van Hogezand, A B Huisman
1Afd. Heelkunde, Medisch Spectrum Twente, Enschede.
Nederlands Tijdschrift Voor Geneeskunde
|July 14, 1990
Summary
A patient with gallstones developed an Ascaris lumbricoides infection after surgery. This case highlights the importance of considering parasitic infections in post-operative patients, even in unexpected scenarios.
Area of Science:
- Gastroenterology
- Infectious Diseases
- Surgical Case Reports
Background:
- Gallstones are a common cause of abdominal pain requiring surgical intervention.
- Cholecystectomy and choledochotomy are standard procedures for gallstone disease.
- Ascaris lumbricoides is a common intestinal roundworm with potential for extraintestinal migration.
Observation:
- A 39-year-old female presented with gallstones and underwent cholecystectomy and choledochotomy.
- Postoperatively, the patient was diagnosed with Ascaris lumbricoides infection.
- The infection was discovered during the recovery phase following biliary surgery.
Findings:
- The case demonstrates a rare complication of Ascaris lumbricoides infection presenting after biliary surgery.
- Diagnostic challenges in identifying parasitic infections in the post-operative setting are noted.
- Review of epidemiology and complications of Ascaris lumbricoides is provided.
Implications:
- Highlights the need for increased awareness of parasitic infections in patients presenting with biliary conditions.
- Suggests considering parasitic etiology in unexplained post-operative complications.
- Emphasizes the importance of thorough diagnostic workup for Ascaris lumbricoides in endemic areas.