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HEPATOBILIARY ASCARIASIS COMPLICATED BY PANCREATITIS
Journal of Ayub Medical College, Abbottabad : JAMC
|September 29, 2015
Summary
Ascaris lumbricoides, a common cause of soil-transmitted helminth infection, rarely affects the gallbladder. This case highlights a rare gallbladder infestation by Ascaris lumbricoides, necessitating surgical removal.
Area of Science:
- Gastroenterology
- Parasitology
- Hepatobiliary Medicine
Background:
- Ascaris lumbricoides is the most prevalent soil-transmitted helminth, typically associated with poor sanitation.
- Gallbladder involvement by Ascaris is an uncommon clinical presentation.
Observation:
- A patient presented with chronic dyspeptic symptoms and biliary channel invasion noted on ultrasound.
- Initial conservative management for acute pancreatitis was initiated due to elevated serum amylase.
Findings:
- Magnetic resonance cholangiopancreatography confirmed a rare case of Ascaris lumbricoides within the gallbladder.
- Laparoscopic cholecystectomy successfully removed the parasitic worm.
Implications:
- Ascaris infestation should be considered in the differential diagnosis for patients with upper abdominal complaints.
- Screening with stool examination and ultrasound is recommended for high-risk populations to detect Ascaris.
- This case underscores the importance of considering parasitic infections in hepatobiliary pathology.
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