Share This Article:

Biliary Ascariasis: An Unusual Cause of Biliary Colic

DOI: 10.4236/oalib.1102003    866 Downloads   1,248 Views  

ABSTRACT

Introduction: Ascariasis by Ascaris lumbricoides is a cosmopolitan disease. Biliary ascariasis is unusual in our country. We report a case of biliary ascariasis revealed by biliary colic. Observation: A 22-year-old woman with no particular history was received for biliary colic associated to vomiting without fever or bowel disorders. On examination, there were pain and defense at the right upper quadrant and a Murphy sign. Moreover, the clinical examination was normal. Blood cells count, renal function, liver function, coagulation and blood ionogram were normal. The abdo-minopelvic ultrasonography showed a probable parasitosis of the bile duct with gallbladder sludge and dilatation of the common bile duct. The abdominopelvic CT scan revealed intrahepatic and common bile duct (CBD) dilatation and organic image in the common bile duct. Right sub-costal laparotomy was allowed to extract an ascaris blocking the common bile duct. A cholecys-tectomy and drainage of the bile duct with a Kehr drain were performed. The postoperative course was marked by wound surgical suppurative resolved by treatment. She was discharged on the 9th post-operative day. T-tube was removed on the 21st post-operative day after normal cho-langiography. Conclusion: Biliary ascariasis is rare in our regions. The diagnosis must be kept in mind in case of biliary colic and ultrasound confirm the diagnosis. Surgical treatment gives good results in our regions.

Conflicts of Interest

The authors declare no conflicts of interest.

Cite this paper

Thiam, O. , Gueye, M. , Toure, A. , Seck, M. , Akpo, L. , Deme, H. , Cisse, M. , Ka, O. , Dieng, M. , Dia, A. and Toure, C. (2015) Biliary Ascariasis: An Unusual Cause of Biliary Colic. Open Access Library Journal, 2, 1-5. doi: 10.4236/oalib.1102003.

References

[1] Sandouk, F., Haffar, S., Zada, M.M., Graham, D.Y. and Anand, B.S. (1997) Pancreatic-Biliary Ascariasis: Experience of 300 Cases. American Journal of Gastroenterology, 92, 2264-2267.
[2] Pilankar, K.S., Amarapurkar, A.D., Joshi, R.M., Shetty, T.S., Khithani, A.S. and Chemburkar, V.V. (2003) Hepatolithiasis with Bilary Ascaris—A Case Report. BMC Gastroenterology, 3, 35.
http://dx.doi.org/10.1186/1471-230X-3-35
[3] Ibrarullah, Md., Mishra, T., Dash, A.P. and Upadhaya, U.N. (2011) Biliary Ascariasis—Role of Endoscopic Intervention. Tropical Gastroenterology, 32, 210-213.
[4] Al Absi, M., Qais, A.M., Al Katta, M., Gafour, M. and Al-Wadan, A.H. (2007) Biliary Ascariasis: The Value of Ultrasound in the Diagnosis and Management. Annals of Saudi Medicine, 27, 161-165.
http://dx.doi.org/10.4103/0256-4947.51511
[5] Misra, S.P. and Dwivedi, M. (2000) Clinical Features and Management of Biliary Ascariasis in a Non-Endemic Area. Postgraduate Medical Journal, 76, 29-32.
http://dx.doi.org/10.1136/pmj.76.891.29
[6] Jethwani, U., Singh, G.J., Sarangi, P. and Kandwal, V. (2012) Laproscopic Management of Wandering Biliary Ascariasis. Case Reports in Surgery, 2012, 561-563.
http://dx.doi.org/10.1155/2012/561563
[7] Manning, R.G. and Tani, M.K. (2009) Management of Biliary Ascaris Lumbricoides in Kabul, Afghanistan: Crossroads of Advancing Technology. BMJ Case Reports, 2009, bcr0720092138.
http://dx.doi.org/10.1136/bcr.07.2009.2138
[8] Wu, S. (2009) Sonographic Findings of Ascaris Lumbricoides in the Gastrointestinal and Biliary Tracts. Ultrasound Quarterly, 25, 207-209.
http://dx.doi.org/10.1097/RUQ.0b013e3181c47a2d

  
comments powered by Disqus

Copyright © 2019 by authors and Scientific Research Publishing Inc.

Creative Commons License

This work and the related PDF file are licensed under a Creative Commons Attribution 4.0 International License.