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Case Reports
. 2021 May 27;16(2):83-85.
doi: 10.51866/cr1078. eCollection 2021 Jul 22.

Biliary ascariasis - A vicious cycle

Nurfariza Che Husin  1   2 , Ikhwan Sani Mohamad  3   2 , Kah Yee Ho  1   4 , Jien Yen Soh  1   2 , Syed Hassan Syed Aziz  1   2 , Zaidi Zakaria  1   2
Affiliations
Case Reports

Biliary ascariasis - A vicious cycle

Nurfariza Che Husin et al. Malays Fam Physician. .

Abstract

Biliary ascariasis is a rare disease in a non-endemic area. However, it is one of the possible etiological factors for retarded growth as well as malnutrition in children. It may cause intestinal obstruction, appendicitis, biliary obstruction, liver abscess, hepatolithiasis, and pancreatitis in adults. Herein, we report a patient with ascending cholangitis secondary to biliary ascariasis who was successfully managed with Endoscopic Retrograde Cholangio Pancreaticography.

Keywords: Biliary; ERCP; ascariasis; cholangitis.

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Figures

Figure 1
Figure 1. Ultrasonography finding showed dilated common bile duct with presence of ascariasis (arrow)
Figure 2
Figure 2. Endoscopic image during ERCP showed extraction of soft stones using balloon extractor
Figure 3
Figure 3. Endoscopic image during ERCP showed multiple worms were extracted from the common bile duct (arrow)
See this image and copyright information in PMC

References

    1. Haburchak David R. Ascariasis. Emedicine. 2018 Jul 30; https://emedicine.medscape.com/article/212510-overview Available from:
    1. Silver Zachary A., Kaliappan Saravanakumar P. Geographical distribution of soil transmitted helminths and the effects of community type in South Asia and South East Asia - A systematic review. PLoS Negl Trop Dis. 2018 Jan;12(1):e0006153. doi: 10.1371/journal.pntd.0006153. https://journals.plos.org/plosntds/article?id=10.1371/journal.pntd.0006153 Available from: - DOI - PMC - PubMed
    1. Misra S, Dwivedi M. Clinical features and management of biliary ascariasis in a non-endemic area. Postgrad Med J. 2000 Jan;76(891):29–32. doi: 10.1136/pmj.76.891.29. https://www.ncbi.nlm.nih.gov pmc/articles/PMC1741472/ Available from: - DOI - PMC - PubMed
    1. Khuroo Mohammad Sultan, Zargar Showkat Ali, Mahajan Rakesh, Bhat Roshan Lal, Javid Gul. Sonographic appearances in biliary ascariasis. Gastroenterology. 1987 Aug;93(2):267–272. doi: 10.1016/0016-5085(87)91013-4. https://www.gastrojournal.org/article/0016-5085(87)91013-4/fulltext Available from: - DOI - PubMed
    1. Alam Towhidul. ERCP in the Management of Biliary Ascariasis. SAGES. https://www.sages.org/meetings/annual132 meeting/abstracts-archive/ercp-... Program Number: P220. Available from:

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