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Biliary ascariasis. A case report

H Sarihan¹, S Gürkök, A Sari

¹Department of Pediatric Surgery, Karadeniz Technical University Faculty of Medicine, Trabzon.

The Turkish Journal of Pediatrics

|October 1, 1995

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Biliary ascariasis, a rare complication of Ascaris lumbricoides infection, can mimic appendicitis. Early diagnosis via imaging and lab tests, followed by mebendazole treatment, is key for successful outcomes in children.

Area of Science:

Gastroenterology
Parasitology
Pediatrics

Background:

Ascaris lumbricoides is a common intestinal nematode globally.
Complications of ascariasis are frequent, but biliary ascariasis is rare.

Observation:

A child presented with abdominal pain, vomiting, and tenderness, initially suspected as acute appendicitis.
Elevated serum alkaline phosphatase and amylase levels were noted.
Ultrasonography and percutaneous cholangiography confirmed biliary ascariasis.

Findings:

The case highlights the diagnostic challenge of biliary ascariasis.
Diagnostic imaging and biochemical markers are crucial for identifying this rare condition.
Successful treatment was achieved with mebendazole and antispasmolytic agents.

Related Experiment Videos

Implications:

This case underscores the importance of considering rare parasitic infections in pediatric abdominal emergencies.
Awareness of biliary ascariasis can lead to earlier diagnosis and effective treatment.
Highlights the efficacy of mebendazole in treating Ascaris lumbricoides biliary obstruction.