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Biliary ascariasis: radiological clue to diagnosis.

Sundriyal D, Bansal S, Kumar N, Sharma N - Oxf Med Case Reports (2015)

Bottom Line: This is due to the prevailing poor sanitary conditions and low level of education.Biliary ascariasis is an uncommon cause of obstructive jaundice.We report a case of biliary ascariasis in a young labourer who presented with acute abdominal pain.

View Article: PubMed Central - HTML - PubMed

Affiliation: Department of Medical Oncology , Dharamshila Hospital & Research Centre , New Delhi , India.

ABSTRACT
Ascariasis is caused by Ascaris lumbricoides. It is the most common helminthic infection seen worldwide. Ascariasis is an endemic disease in our country. This is due to the prevailing poor sanitary conditions and low level of education. Biliary ascariasis is an uncommon cause of obstructive jaundice. We report a case of biliary ascariasis in a young labourer who presented with acute abdominal pain.

No MeSH data available.


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Magnetic resonance cholangiography image showing non-shadowing tubular defect in the common bile duct.
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OMV026F1: Magnetic resonance cholangiography image showing non-shadowing tubular defect in the common bile duct.

Mentions: He was taken up for USG of the abdomen which showed bilobar dilated intra hepatic biliary radicals. A linear echogenic shadow was seen in the common bile duct (CBD). Subsequently, magnetic resonance cholangiography was ordered which revealed a non-shadowing hypointense tube-like structure in the CBD (Fig. 1) [1, 2]. A side-viewing endoscopy was performed which showed a long roundworm moving in the duodenum with one end inside the CBD. Worm was taken out with snare (Fig. 2). His icterus resolved and liver enzymes normalized in next 4 days. Antihelminthic therapy was given.Figure 1:


Biliary ascariasis: radiological clue to diagnosis.

Sundriyal D, Bansal S, Kumar N, Sharma N - Oxf Med Case Reports (2015)

Magnetic resonance cholangiography image showing non-shadowing tubular defect in the common bile duct.
© Copyright Policy - creative-commons
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4664850&req=5

OMV026F1: Magnetic resonance cholangiography image showing non-shadowing tubular defect in the common bile duct.
Mentions: He was taken up for USG of the abdomen which showed bilobar dilated intra hepatic biliary radicals. A linear echogenic shadow was seen in the common bile duct (CBD). Subsequently, magnetic resonance cholangiography was ordered which revealed a non-shadowing hypointense tube-like structure in the CBD (Fig. 1) [1, 2]. A side-viewing endoscopy was performed which showed a long roundworm moving in the duodenum with one end inside the CBD. Worm was taken out with snare (Fig. 2). His icterus resolved and liver enzymes normalized in next 4 days. Antihelminthic therapy was given.Figure 1:

Bottom Line: This is due to the prevailing poor sanitary conditions and low level of education.Biliary ascariasis is an uncommon cause of obstructive jaundice.We report a case of biliary ascariasis in a young labourer who presented with acute abdominal pain.

View Article: PubMed Central - HTML - PubMed

Affiliation: Department of Medical Oncology , Dharamshila Hospital & Research Centre , New Delhi , India.

ABSTRACT
Ascariasis is caused by Ascaris lumbricoides. It is the most common helminthic infection seen worldwide. Ascariasis is an endemic disease in our country. This is due to the prevailing poor sanitary conditions and low level of education. Biliary ascariasis is an uncommon cause of obstructive jaundice. We report a case of biliary ascariasis in a young labourer who presented with acute abdominal pain.

No MeSH data available.


Related in: MedlinePlus