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Updated: Oct 24, 2025
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Using Multi-fluorinated Bile Acids and In Vivo Magnetic Resonance Imaging to Measure Bile Acid Transport
Published on: November 27, 2016
11.4K
Biliary ascariasis - A vicious cycle
Nurfariza Che Husin1,2, Ikhwan Sani Mohamad3,2, Kah Yee Ho1,4
1Department of Surgery, School of Medical Sciences, Universiti Sains Malaysia, Kelantan, Malaysia.
Summary
Biliary ascariasis, a rare condition, can cause serious health issues in children and adults. This case highlights successful management of ascending cholangitis due to biliary ascariasis using Endoscopic Retrograde Cholangio Pancreaticography.
Area of Science:
- Gastroenterology and Hepatology
- Parasitology
- Infectious Diseases
Background:
- Biliary ascariasis is an uncommon parasitic infection of the bile ducts, rarely seen in non-endemic regions.
- Ascariasis can lead to various complications, including malnutrition and growth retardation in children, and biliary obstruction, liver abscess, and pancreatitis in adults.
- Ascending cholangitis is a serious bacterial infection of the biliary system, often associated with bile duct obstruction.
Observation:
- This report details a case of ascending cholangitis in a patient stemming from biliary ascariasis.
- The patient presented with symptoms indicative of a biliary tract infection.
Findings:
- Biliary ascariasis was identified as the underlying cause of ascending cholangitis.
- Successful management of the condition was achieved through Endoscopic Retrograde Cholangio Pancreaticography (ERCP).
Implications:
- This case underscores the importance of considering biliary ascariasis in the differential diagnosis of biliary tract infections, even in non-endemic areas.
- ERCP is presented as an effective treatment modality for biliary ascariasis-induced ascending cholangitis.
- Raising awareness about biliary ascariasis can improve early diagnosis and patient outcomes, particularly in pediatric populations where it can cause developmental issues.
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