Biliary ascariasis and severe bacterial outcomes: Report of three cases from a paediatric hospital in Brazil

Almeida, Breno Lima de; Silva, Daniel Vicente; Rosário, Mateus Santana do; Gonçalves, Bruno Simões Dias; Nunes, Míria Guimarães; Ney, André Luis Chukr Mafra; Silvany, Celia; Siqueira, Isadora Cristina de

doi:10.1016/j.ijid.2020.03.045

Cited by 4 publications

(17 citation statements)

References 11 publications

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“…Furthermore, ultrasound imaging is the technique of choice for demonstrating both worms and their motion in the biliary system over time due to its sensitivity [4]. The results demonstrate a typical longitudinal image of a hyperechoic tubular structure without acoustic shadow or surrounding a hyperechoic structure, with a hypoechoic center (parallel echoic strip).…”

Section: Discussionmentioning

confidence: 92%

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Ascaris lumbricoides Infestation of Bile Ducts: Case Report

Sarwar¹,

ALakkad²,

Fawzy

2022

AJRIMPS

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Background: Ascariasis is a common helminthic disease that affects the gastrointestinal tract of human beings and is caused by the Ascaris lumbricoid worm. Most of the time, this parasite resides in the intestinal lumen, but it can occasionally travel to the biliary tract through the ampulla of Vater. The most serious and potentially fatal complication of intestinal ascariasis is biliary ascariasis, which can appear in different ways. Case Report: A non-diabetic, non-alcoholic female reported to the emergency department with a one-day history of abdominal pain and vomiting with worms. The pain began gradually with a score of 7/10 and rapidly deteriorated during the day, reaching 10/10 at the hospital presentation. The patient also had a significant medical history. Before papillotomy, she underwent endoscopic retrograde cholangiopancreatography with the removal of one common bile duct (CBD) stone, but no stent was implanted. She had her laparoscopic cholecystectomy done as well. Laboratory examination revealed normal liver function tests and C-reactive protein. While abdominal ultrasound confirmed the presence of hepatic pericholangitis and on ultrasound imaging, the CBD was found to be enlarged approximately 7 mm in diameter and had a linear tubular structure with centre faint echogenicity and periphery tubularity. The ultimate diagnosis of the patient was cholangitis brought on by Ascaris lumbricoides. After the diagnosis, endoscopic retrograde cholangiopancreatography showed sphincterotomy with CBD dilation. The worm was extracted by grasping it with biopsy forceps and pulled out of the papilla using a balloon catheter. The length of the worm was 18 centimeters. Conclusion: Ascaris is the most frequently occurring disease that can cause biliary complications, such as cholangitis. This case report suggests that cholangitis caused by Ascaris lumbricoides can be successfully treated with the endoscopic approach, indicating that endoscopy could be a viable option to manage ascaris.

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Section: Discussionmentioning

confidence: 92%

“…Additionally, it primarily affects children and people living in underdeveloped countries with inadequate sanitation [3]. This disease can also have a significant impact on health and quality of life and is predicted to affect millions of people, causing problems such as malnutrition and longterm cognitive impairment [4].…”

Section: Introductionmentioning

confidence: 99%

Ascaris lumbricoides Infestation of Bile Ducts: Case Report

Sarwar¹,

ALakkad²,

Fawzy

2022

AJRIMPS

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“…The operation is performed through the normal physiological channels, which not only reduces the damage to the body but also treats the common bile duct-associated diseases while eliminating the etiology, thus reducing the risk of surgery and the occurrence of complications. It is a safe and effective method for the treatment of biliary ascariasis[ 21 , 22 ].…”

Section: Discussionmentioning

confidence: 99%

Endoscopic management of biliary ascariasis: A case report

Wang¹,

Lv²,

Cui³

et al. 2021

WJCC

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BACKGROUND Biliary ascariasis is rare but remains the most common parasitic infection in remote areas and in people with poor medical conditions. Here, we reported a case of biliary ascariasis in order to raise awareness of possible parasitic infections. CASE SUMMARY A 68-year-old female was admitted to the emergency room of the Affiliated Hospital of Guizhou Medical University on 28 September 2017, with chief complaint of pain in the right upper abdomen. Ultrasonography of the abdomen showed that the upper segment of the common bile duct was slightly dilated with parallel tubular structures, indicative of biliary ascariasis. Endoscopic retrograde cholangiopancreatography was performed under general anesthesia on 29 September 2017, and an adult Ascaris lumbricoides worm was observed. After the worm was removed from the bile duct, the patient’s pain immediately subsided. The patient was successfully cured, without any complications. CONCLUSION This report emphasizes the need for physicians to consider biliary ascariasis as a possible cause when treating cases of biliary colic.

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“…Hepatic abscesses could either be due to ascariasis or ERCP complications. Management of hepatic abscess is surgical with US-guided percutaneous drainage in addition to conservative therapy [17][18][19].…”

Section: Complicationsmentioning

confidence: 99%

“…Small bowel obstruction is a common finding in infected human hosts [ 1 , 13 ]. Partial or complete intestinal obstruction is the primary clinical manifestation associated with pediatric hospitalization for ascariasis [ 18 ]. When the condition in the small intestine becomes less than ideal, the AW seeks to migrate to alternate organs, and the major duodenal papilla serves as a passage system from the duodenum to the hepatobiliary system through to the biliary system [ 17 ].…”

Section: Reviewmentioning

confidence: 99%

An Overview of Ascariasis Involvement in Gallbladder Disease: A Systematic Review of Case Reports

Inyang¹,

Koshy²,

George³

et al. 2022

Cureus

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Ascaris lumbricoides is the most common type of helminth infection in humans. It affects more than one billion of the world's population. Children living in developing nations are prone to ascariasis, presenting with obstructive biliary illnesses. Migration of Ascaris worms through the major duodenal papilla to the hepatobiliary system leads to symptoms of biliary colic and complications along the biliary tree. In April 2022, we performed a systematic review of case reports to identify and examine cases of gallbladder ascariasis worldwide. A methodical search using PubMed, Semantic Scholar, ScienceDirect, and Directory of Open Access Journals yielded 2773 studies. After duplicate removal, title, abstract, and content screening, retrieval, and quality assessment, 13 studies met the criteria for this systematic review of case reports. The cases and results from these 13 studies revealed gallbladder ascariasis in different age groups worldwide. This systematic review discusses ascariasis, explicitly highlighting its presence in the gallbladder, symptomatic presentation, laboratory/imaging findings, complications, and approach to management.

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Biliary ascariasis and severe bacterial outcomes: Report of three cases from a paediatric hospital in Brazil

Cited by 4 publications

References 11 publications

Ascaris lumbricoides Infestation of Bile Ducts: Case Report

Ascaris lumbricoides Infestation of Bile Ducts: Case Report

Endoscopic management of biliary ascariasis: A case report

An Overview of Ascariasis Involvement in Gallbladder Disease: A Systematic Review of Case Reports

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