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Real-time ultrasound in paediatric biliary ascariasis. Case reports

B J Cremin

    South African Medical Journal = Suid-Afrikaanse Tydskrif Vir Geneeskunde
    |June 12, 1982
    PubMed

    Insights

    Biliary ascariasis, a common pediatric issue in Cape Town, can be diagnosed and monitored using real-time ultrasound. This imaging technique quickly identifies the parasitic worm in the bile duct, aiding in patient care.

    Area of Science:

    • Pediatric Gastroenterology
    • Medical Imaging
    • Parasitology

    Background:

    • Biliary ascariasis presents a frequent pediatric challenge in Cape Town.
    • Accurate and timely diagnosis is crucial for effective management.

    Observation:

    • Real-time ultrasound provides a swift diagnostic modality.
    • Specific ultrasound findings include a 'triple echo' pattern and a characteristic 'bull's-eye' echo within the bile duct.

    Findings:

    • The 'bull's-eye' echo represents the Ascaris worm within the bile duct.
    • The worm's tubular structure is ultrasonically trackable, confirming biliary ascariasis.

    Implications:

    • Ultrasound facilitates rapid diagnosis and monitoring of treatment efficacy.
    • This non-invasive method improves patient outcomes for biliary ascariasis.

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