Treatment response and long-term outcomes in biliary ascariasis: A prospective study

Patra, Partha Sarathi; Das, Anindya; Ahmed, Shahana; Mitra, Souveek; Dhali, Gopal Krishna

doi:10.1016/j.ajg.2020.11.002

Cited by 5 publications

(4 citation statements)

References 22 publications

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“…Endoscopic retrograde cholangiopancreatography serves a dual purpose, facilitating both diagnostic and therapeutic interventions. This method achieves optimal results in visualizing and extracting worms from bile ducts (with a sensitivity of 100 percent and specificity ranging from 94 to 95 percent) [ 5 , 7 , 12 , 19 , 20 ]. ERCP diagnostic accuracy is enhanced through direct visualization while serving as a curative procedure by facilitating the extraction of the identified parasite.…”

Section: Discussionmentioning

confidence: 99%

Biliary Ascariasis in a Pediatric Patient in Lithuania: Case Report and Literature Review

Rokaitė,

Dženkaitis,

Nedzinskaitė

et al. 2024

Medicina

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Hepatobiliary ascariasis is caused by the entry of the nematode A. lumbricoides from the duodenum into the biliary duct. We report a case of an Ascaris-induced extrahepatic biliary tract obstruction in a pediatric patient admitted to the hospital due to a wide spectrum of symptoms of biliary disease, which included abdominal pain in the upper abdominal quadrants, vomiting, and jaundice. Imaging tests—including ultrasound, magnetic resonance cholangiopancreatography (MRCP), and endoscopic retrograde cholangiopancreatography (ERCP)—were performed to confirm the diagnosis of biliary ascariasis. The tests did, in fact, demonstrate signs of this disease. Nevertheless, during the ERCP, only the remains of Ascaris parasites in the form of tissue fragments were extracted. We also aim to discuss the prevalence of ascariasis in children, the causes of migration of Ascaris parasites into the bile ducts, together with its clinical manifestations, as well as the diagnostic and treatment methods of this disease.

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Section: Discussionmentioning

confidence: 99%

Biliary Ascariasis in a Pediatric Patient in Lithuania: Case Report and Literature Review

Rokaitė,

Dženkaitis,

Nedzinskaitė

et al. 2024

Medicina

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“…A plain X-ray of the abdomen may reveal a collection of worms contrasting against the bowel, known as the whirlpool efect, and a barium swallow can reveal elongated flling defects in the small intestine [22]. In addition, endoscopic retrograde cholangiopancreatography (ERCP) may be indicated in these patients as a diagnostic tool to determine the presence of worms in the CBD and can also act as a therapeutic modality with a high success rate [23]. Often, these patients are initially investigated with sonography, which can help detect various congenital and acquired abnormalities in the biliary tree [19][20][21].…”

Section: Discussionmentioning

confidence: 99%

Successful Management of Biliary Ascariasis in a High-Endemic Zone and Low-Resource Setting in Ethiopia

Asfaw

Asrat

Uddo

et al. 2022

Case Reports in Infectious Diseases

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Ascariasis lumbricoides is a roundworm that causes one of the most common soil-transmitted helminth infections worldwide. Ascariasis is typically found in the jejunum and transmitted through the intake of Ascaris lumbricoides eggs through food and water. Initially, ascariasis can cause pulmonary symptoms during the first 6–8 weeks of ingestion and can progress to serious complications of intestinal obstruction and hepatobiliary manifestations. Biliary ascariasis is a complication of ascariasis migration from the jejunum to the hepatobiliary tree and can present with a variety of symptoms ranging from biliary colic to more serious features such as acute cholangitis. Though the mortality rate is low, limited resources for management can make it challenging to manage.

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“…Biliary ascariasis results from the intermittent migration of adult worms into the biliary tree through ampulla of Vater [1] . Abdominal ultrasound (US) is highly sensitive and specific, with diagnostic findings of mobile, non-shadowing, echogenic tubular structures with central hypoechogenicity and characteristic slow movement on a real-time scan, as clearly demonstrated in our patient [2] , [3] , [4] .…”

mentioning

confidence: 99%

“…Dilation of the common bile duct can also be seen, and a follow-up US can confirm the exit of worms with successful treatment [3] . Treatment includes medical therapy, which can be suboptimal in those presenting with obstructive jaundice, and removal with ERCP [1] , [4] . In the presented case, albendazole therapy achieved successful expulsion of the worm on an interval scan with mild residual dilatation of the common bile duct.…”

mentioning

confidence: 99%

Biliary ascariasis presenting with obstructive jaundice: Illustration of sonographic findings

Tamiru,

Belay,

Hailemariam

2023

IDCases

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Treatment response and long-term outcomes in biliary ascariasis: A prospective study

Cited by 5 publications

References 22 publications

Biliary Ascariasis in a Pediatric Patient in Lithuania: Case Report and Literature Review

Biliary Ascariasis in a Pediatric Patient in Lithuania: Case Report and Literature Review

Successful Management of Biliary Ascariasis in a High-Endemic Zone and Low-Resource Setting in Ethiopia

Biliary ascariasis presenting with obstructive jaundice: Illustration of sonographic findings

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