Biliary ascariasis. A case report

Area of Science:

• Gastroenterology and Hepatology
• Infectious Diseases
• Parasitology

Background:

• Biliary ascariasis is a rare complication of Ascaris lumbricoides infection, where adult worms migrate into the biliary tree.
• It can lead to significant hepatobiliary complications, including cholecystitis, cholangitis, and pancreatitis.
• Diagnosis and management can be challenging due to the rarity and varied presentations.

Observation:

• This report details the case of an adult woman presenting with symptoms suggestive of biliary tract disease.
• Diagnostic investigations revealed the presence of Ascaris lumbricoides within the common bile duct.
• The patient's clinical presentation, diagnostic pathway, and subsequent treatment are described.

Findings:

• The study describes the clinical features, diagnostic modalities, and successful management of biliary ascariasis in an adult female patient.
• A review of existing literature on biliary ascariasis is presented, summarizing current knowledge on epidemiology, clinical manifestations, and treatment outcomes.
• Key findings emphasize the importance of considering parasitic infections in the differential diagnosis of obstructive jaundice.

Implications:

• This case underscores the need for increased awareness of biliary ascariasis among clinicians, particularly in endemic regions.
• Effective management strategies, including endoscopic and surgical interventions, are crucial for preventing severe complications.
• Further research into optimal diagnostic and therapeutic approaches for biliary ascariasis is warranted.