Biliary ascariasis : The value of ultrasound in the diagnosis and management

Absi, Mohammad Al; Qais, AbdulMalik; Katta, Mohammad Al; Gafour, Mohammed; Al-Wadan, AliHamoud

doi:10.4103/0256-4947.51511

Cited by 16 publications

(11 citation statements)

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“…Sharm & Ahuja [4] reported carcinoma of the gall bladder as the most common cause of malignant obstructive jaundice. Also, studies in Saudi Arabia and Yemen reported Ascariases Lumbricoides to be frequently associated with disease of biliary tract resulting in obstruction [20]. These observations reflect differences in etiological spectrum from one centre to another.…”

Section: Discussionmentioning

confidence: 99%

Etiological spectrum and treatment outcome of Obstructive jaundice at a University teaching Hospital in northwestern Tanzania: A diagnostic and therapeutic challenges

2011

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BackgroundObstructive jaundice poses diagnostic and therapeutic challenges to general surgeons practicing in resource-limited countries. This study was undertaken to highlight the etiological spectrum, treatment outcome of obstructive jaundice in our setting and to identify prognostic factors for morbidity and mortality.MethodsThis was a descriptive prospective study which was conducted at Bugando Medical Centre between July 2006 and June 2010. All patients with a clinical diagnosis of obstructive jaundice were, after informed consent for the study, consecutively enrolled into the study. Data were collected using a pre-tested structured questionnaire and analyzed using SPSS computer software version 11.5.ResultsA total of 116 patients were studied. Females outnumbered males by a ratio of 1.3:1. Patients with malignant obstructive jaundice were older than those of benign type. Ca head of pancreas was the commonest malignant cause of jaundice where as choledocholithiasis was the commonest benign cause. Abdominal ultrasound was the only diagnostic imaging done in all patients and revealed dilated intra and extra-hepatic ducts, common bile stones and abdominal masses in 56.2%, 78.9%, 58.1% and 72.4% of the cases respectively. A total of 110 (94.8%) patients underwent surgical treatment and the remaining 6 (5.2%) patients were unfit for surgery. The complication rate was 22.4% mainly surgical site infections. The mean hospital stay and mortality rate were 14.54 days and 15.5% respectively. A low haematocrit and presence of postoperative sepsis were the main predictors of the hospital stay (P < 0.001), whereas age > 60 years, prolonged duration of jaundice, malignant causes and presence of postoperative complications mainly sepsis significantly predicted mortality (P < 0.001).ConclusionObstructive jaundice in our setting is more prevalent in females and the cause is mostly malignant. The result of this study suggests that early diagnosis and treatment plays an important role in the prognosis of patients with obstructive jaundice.

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Section: Discussionmentioning

confidence: 99%

Etiological spectrum and treatment outcome of Obstructive jaundice at a University teaching Hospital in northwestern Tanzania: A diagnostic and therapeutic challenges

2011

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“…All of these locations have been successfully confirmed using US. 5 Sonographic findings include mobile, nonshadowing, echogenic tubular structures with central hypoechogenicity representing the nematode's digestive tract. 6 Endoscopic retrograde cholangiograms show a long tubular filling defect in the bile duct or gallbladder that may move under fluoroscopic observation.…”

Section: Discussionmentioning

confidence: 99%

Biliary Ascariasis

Foster

Hamper²

2015

Ultrasound Quarterly

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“…Diagnosis can be facilitated by microscopic examination of a stool smear. The utility of ultrasonography as the initial imaging modality to confirm biliary ascaris has been well documented 13 – 16. Likewise, management of biliary ascaris with ERCP both as a diagnostic and therapeutic modality to remove ascaris from the papillary orifice, CBD and pancreatic duct has been well documented 3 – 10 , 17.…”

Section: Discussionmentioning

confidence: 99%

Management of biliary Ascaris lumbricoides in Kabul, Afghanistan: crossroads of advancing technology

Manning

Tani²

2009

Case Reports

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The case is presented of the successful removal of a dead Ascaris lumbricoides from the right hepatic duct of a middle aged woman from a rural province in Afghanistan. The case was started laparoscopically, but converted to an open procedure because of difficulty identifying the anatomic landmarks required to safely perform laparoscopic cholecystectomy. After worm removal, the common bile duct (CBD) was reconstructed with a Roux-en-Y hepaticojejunostomy. The patient was discharged on postoperative day 7 and was doing well when seen in the outpatient clinic 2 weeks later.

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Biliary ascariasis : The value of ultrasound in the diagnosis and management

Cited by 16 publications

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Etiological spectrum and treatment outcome of Obstructive jaundice at a University teaching Hospital in northwestern Tanzania: A diagnostic and therapeutic challenges

Etiological spectrum and treatment outcome of Obstructive jaundice at a University teaching Hospital in northwestern Tanzania: A diagnostic and therapeutic challenges

Biliary Ascariasis

Management of biliary Ascaris lumbricoides in Kabul, Afghanistan: crossroads of advancing technology

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