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[Biliary ascariasis]

K M Fang1, C L Yen, C L Chen

  • 1Department of Surgery, Chang Gung Memorial Hospital, Keelung, Taiwan, R.O.C.

Changgeng Yi Xue Za Zhi
|June 1, 1993
PubMed
Summary
This summary is machine-generated.

Biliary ascariasis, a rare complication of roundworm infection, presents with abdominal pain and jaundice. Early diagnosis via ultrasonography or ERCP and conservative treatment lead to a good prognosis.

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Area of Science:

  • Gastroenterology
  • Hepatology
  • Infectious Diseases

Context:

  • Biliary ascariasis is a rare condition where roundworms infest the bile ducts.
  • This study analyzes ten cases admitted for biliary tract diseases between 1982 and 1987.

Purpose:

  • To report the incidence, clinical presentation, diagnostic methods, and management of biliary ascariasis.
  • To evaluate the effectiveness of diagnostic tools and treatment strategies.

Summary:

  • Ten cases of biliary ascariasis were identified (0.12% incidence) with common symptoms including abdominal pain, fever, jaundice, and vomiting.
  • Diagnostic accuracy was higher with endoscopic retrograde cholangiopancreatography (ERCP) at 87.5% compared to ultrasonography at 40%.
  • Management primarily involved conservative measures like fluids, antibiotics, and antihelmintics, with surgery reserved for complications.

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Impact:

  • Highlights the importance of considering biliary ascariasis in patients with biliary tract disease symptoms.
  • Emphasizes the diagnostic utility of ERCP and the efficacy of conservative management.
  • Suggests regular follow-up with antihelmintics to prevent reinfection.