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Biliary ascariasis after worm removal from the duodenum and single-dose albendazole treatment.

Wongsaensook A, Sukeepaisarnjaroen W, Sawanyawisuth K - Am. J. Trop. Med. Hyg. (2010)

View Article: PubMed Central - PubMed

Affiliation: Department of Medicine, Faculty of Medicine, Srinagarind Hospital, Khon Kaen University, Khon Kaen, Thailand.

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The worm was removed by endoscopic snare and identified as Ascaris lumbricoides; 400 mg albendazole was given orally... The magnetic resonance cholangiopancreatography (MRCP) was performed and showed a thin tubular filling defected with moderate dilatation of the common bile duct (Figure 3)... She refused an endoscopic retrograde cholangiopancreatography (ERCP), but she was successfully treated with albendazole (400 mg) for 7 days... A. lumbricoides may live in the human jejunum for 1–2 years without causing any symptoms... After they migrate to other parts of the digestive system such as the duodenum, hepatobiliary tract, or pancreas, significant symptoms occur... In our patient, severe vomiting and abdominal pain developed when the worm migrated to the duodenum, an uncommon living site for this parasite... Hepatobiliary ascariasis was shown by MRCP... Post-cholecystectomy has been shown to be a risk for developing hepatobiliary ascariasis... A single dose of albendazole therapy might aggravate another ascarid to migrate to the biliary tract through the Ampulla of Vater... Although ERCP can be both a diagnostic and therapeutic tool for hepatobiliary ascariasis,, a 1-week course of albendazole was shown here to be effective.

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Plain abdomen showed diffuse small- and large-bowel dilatations.
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Figure 1: Plain abdomen showed diffuse small- and large-bowel dilatations.

Mentions: Laboratory investigations showed eosinophilia (8.8%) and generalized small- and large-bowel dilatations (Figure 1). Liver function test, long gastrointestinal study, and ultrasonography of abdomen were all normal. She was treated with proton pump inhibitor with no improvement.


Biliary ascariasis after worm removal from the duodenum and single-dose albendazole treatment.

Wongsaensook A, Sukeepaisarnjaroen W, Sawanyawisuth K - Am. J. Trop. Med. Hyg. (2010)

Plain abdomen showed diffuse small- and large-bowel dilatations.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC2912565&req=5

Figure 1: Plain abdomen showed diffuse small- and large-bowel dilatations.
Mentions: Laboratory investigations showed eosinophilia (8.8%) and generalized small- and large-bowel dilatations (Figure 1). Liver function test, long gastrointestinal study, and ultrasonography of abdomen were all normal. She was treated with proton pump inhibitor with no improvement.

View Article: PubMed Central - PubMed

Affiliation: Department of Medicine, Faculty of Medicine, Srinagarind Hospital, Khon Kaen University, Khon Kaen, Thailand.

AUTOMATICALLY GENERATED EXCERPT
Please rate it.

The worm was removed by endoscopic snare and identified as Ascaris lumbricoides; 400 mg albendazole was given orally... The magnetic resonance cholangiopancreatography (MRCP) was performed and showed a thin tubular filling defected with moderate dilatation of the common bile duct (Figure 3)... She refused an endoscopic retrograde cholangiopancreatography (ERCP), but she was successfully treated with albendazole (400 mg) for 7 days... A. lumbricoides may live in the human jejunum for 1–2 years without causing any symptoms... After they migrate to other parts of the digestive system such as the duodenum, hepatobiliary tract, or pancreas, significant symptoms occur... In our patient, severe vomiting and abdominal pain developed when the worm migrated to the duodenum, an uncommon living site for this parasite... Hepatobiliary ascariasis was shown by MRCP... Post-cholecystectomy has been shown to be a risk for developing hepatobiliary ascariasis... A single dose of albendazole therapy might aggravate another ascarid to migrate to the biliary tract through the Ampulla of Vater... Although ERCP can be both a diagnostic and therapeutic tool for hepatobiliary ascariasis,, a 1-week course of albendazole was shown here to be effective.

Show MeSH
Related in: MedlinePlus