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Hepatobiliary and pancreatic ascariasis.
Mohammad S Khuroo1, Ajaz A Rather1, Naira S Khuroo1
1Mohammad S Khuroo, Sher-I-Kashmir Institute of Medical Sciences, Srinagar, Kashmir 190010, India.
World Journal of Gastroenterology
|September 28, 2016
Summary
Hepatobiliary and pancreatic ascariasis (HPA), caused by Ascaris lumbricoides, leads to severe biliary and pancreatic conditions. Effective anthelmintic therapy and endoscopic removal of worms can resolve symptoms and prevent complications.
Area of Science:
- Gastroenterology
- Infectious Diseases
- Hepatology
Background:
- Hepatobiliary and pancreatic ascariasis (HPA) is a clinical entity caused by Ascaris lumbricoides invading the biliary and pancreatic ducts.
- This condition is prevalent in endemic regions like Kashmir, contributing significantly to biliary diseases and acute pancreatitis.
Purpose of the Study:
- To describe the clinical presentation, diagnosis, and management of hepatobiliary and pancreatic ascariasis.
- To highlight the etiological role of Ascaris lumbricoides in various hepatobiliary and pancreatic diseases.
Main Methods:
- Review of clinical cases and diagnostic findings of HPA.
- Emphasis on ultrasonography as a key diagnostic tool for visualizing worms in the ductal system.
Main Results:
- HPA is a significant cause of biliary diseases (36.7%), acute pancreatitis (23%), liver abscesses (14.5%), and biliary lithiasis (12.5%) in Kashmir.
- Ultrasonography effectively visualizes worms within the biliary and pancreatic ducts.
Conclusions:
- Hepatobiliary and pancreatic ascariasis requires prompt diagnosis and effective anthelmintic treatment.
- Endoscopic intervention is indicated for persistent symptoms or retained worms, leading to symptom regression.
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