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Magnetic resonace appearance of Gall Bladder Ascariasis  [cached]
Arya Prafull,Kukreti Ranjan,Arya Muktanjali,Gupta Sachida
Indian Journal of Medical Sciences , 2005,
Abstract: Ascariasis is a common disease in many developing countries and is a common cause of biliary and pancreatic diseases in endemic areas. Numerous studies have been published on biliary tract ascariasis. All these have documented ultrasonography as the primary imaging modality for biliary tract ascariasis. Magnetic Resonance Cholangiopancreatography (MRCP) has been the latest entrant for the study of bilary tract. MRCP findings of biliary tract ascariasis have been scarcely documented. MRCP is a unique non-invasive investigation for demonstrating ascariasis in Gall bladder and bilary tract clearly. We present MR appearances of Gall bladder and biliary tract in a proven case of biliary ascariasis.
Manejo endoscópico de la ascaridiasis múltiple biliar en ni os: Presentación de casos y revisión de la literatura Endoscopy treatment of multiple ascariasis biliary in children: Cases report and review  [cached]
John Ospina Nieto,María Eugenia Posada Castrillón
Revista Colombiana de Gastroenterologia , 2007,
Abstract: La ascaridiasis es un problema de salud pública en los países en desarrollo. Una de las formas de presentación clínica de esta parasitosis es la "ascaridiasis errática biliar" que involucra la vía biliar y el conducto pancreático; aunque muchos trabajos informan la baja incidencia de esta patología en ni os, en el presente artículo reportamos 5 casos de ni os con cuadros de áscaris en el colédoco, 4 de ellos llaman la atención por la presencia de parasitosis múltiple biliar, a todos se les realizó tratamiento endoscópico para su patología. Se presenta una revisión de los paraclínicos de estos 5 casos y de las características del procedimiento endoscópico CPRE, resaltando en el presente trabajo las bondades de dicho método para el diagnóstico y tratamiento de esta patología en ni os. De igual manera, se expone a los lectores un breve estado de esta infestación. The Ascaridiasis is a problem of public health in the most countries located in the third world, one of the most common presentations of this parasitism is the "biliary erratic ascariasis", which involves the biliary ways and the pancreatic conduit, although most of the research works report about the low incidence of this pathology in kids. In the present Article we report five cases of kids with a manifestation of ascariasis in common bile duct, four of them are the most interesting cases due to the presence of multiple biliary parasites. Once a revision made of paraclinical reports of these five cases and the characteristics of the E.R.C.P endoscopic procedure, we are showing the advantages of this method for the diagnostic and treatment of this pathology at the same time it is exposed to the readers a brief actualization of this infestations.
Ascariasis cholecystitis: An unusual cause  [cached]
Shetty Balakrishna,Shetty Prashanth,Sharma Pritam
Journal of Minimal Access Surgery , 2008,
Abstract: Ascariasis is the most common helminthic infection to infest man. Usually the adult worm lives in the small intestine. Rarely it migrates through the ampulla of vater and enters the common bile duct. We are reporting a case of gall bladder ascariasis causing acute cholecystitis treated by laparoscopic cholecystectomy. Presence of Ascaris lumbricoides in gallbladder is rare entity as it is difficult to reach there due to the narrow and tortuous cystic duct.
Appendiceal ascariasis in children
Wani Imtiaz,Maqbool Muddasir,Amin Abid,Shah Firdous
Annals of Saudi Medicine , 2010,
Abstract: Background : The propensity of Ascaris lumbricoides to wander leads to varied surgical complications in the abdomen. Wandering A lumbricoides may sometimes reach the vermiform appendix and its presence there may remain silent or incite pathology. Our aim was to study ascariadial appendicitis. Methods : Over a period of 3 years, we identified children who were found to have appendiceal ascariasis during surgery for different intestinal complications due to ascariasis. We studied the relationship between ascariasis and its lodgement inside the vermiform appendix in these patients. No preoperative diagnosis was made in this series. Results : We found 11 patients with appendiceal ascariasis. It was incidentally found that 8/11 (72.7%) patients had worms inside their vermiform appendix but not appendicitis, whereas the remaining three patients (27.2%) were found to have Ascaris-associated appendicitis. The characteristic finding in Ascaris-infested vermiform appendix was that the worm is positioned with its head at the base and its tail at the tip of the appendix. Conclusion : Migration of A lumbrocoides inside the vermiform appendix is an incidental finding and tends to pursue a silent course in most patients. Only rarely does the presence of Ascaris inside the vermiform appendix cause appendicitis.
Parasitic disease of the liver and biliary tree  [cached]
Mohamed Abdulrahman,Al Karawi Mohamed,Ghandour Zuhul
Saudi Journal of Gastroenterology , 1997,
Abstract: Several parasites infest liver or biliary tree, either during their maturation stages or as adult worms. Bile iry tree parasites may cause pancreatitis, cholecystitis, biliary tree obstruction, recurrent cholangitis, biliary tree strictures and some may lead to cholangiocarcinoma. This review discusses the hepatobiliary parasites, and shows our experience in diagnosis and management of these parasites. Ultrasonography of the liver is diagnostic in schistosomiasis, hydatid cysts, amebic liver abscess, ascariasis and other biliary tree parasites showing bile duct dilatation. Percutaneous aspiration under ultrasonography guidance of hydatid liver cysts or amebic abscess are effective measures in management. Endoscopic retrograde cholangiopancreatography (ERCP) is safe and effective in diagnosis and management of biliary tree parasites.
Albendazole Therapy in Ascariasis  [PDF]
Ishtyak Ahmed Mir ,Nazir Ahmed Wani, Rekha Patnaik
JK Science : Journal of Medical Education & Research , 2003,
Abstract: Patients in the paediatric age group with moderate to severe intestinal ascariasis were treated withvarious antihelminthic dJugs. Albendazole, Pyrantel pamoate and Levamisole were used. Comparisonofthe percentage cure rate, was made and albendazole was found to be the most effective in 92.26%of patients followed by pyrantel pamoate and levamisole in 80.82% and 64.70% of the patientsrespectively.
An unusual case of ascariasis of the appendix
Sforza Marcos,An?elkov Katarina,Zaccheddu Renato,Ivanov Dejan
Srpski Arhiv za Celokupno Lekarstvo , 2011, DOI: 10.2298/sarh1112809s
Abstract: Introduction. Amongst various causes responsible for the obstruction of digestive tract, intestinal ascariasis is certainly one of the least frequent. Case Outline. We report an extremely rare case of a 5-year-old male patient operated on for appendicitis due to adult Ascaris Lumbricoides worms intraoperatively detected in the appendiceal lumen. Conclusion. On examination patient’s clinical features indicated acute appendicitis. Therefore, the treatment-of-choice could only be surgical. Classic appendectomy was performed and the postoperative course was uneventful, with full recovery.
Massive infestation by Ascaris lumbricoides of the biliary tract: report of a successfully treated case
Andrade Júnior, Dahir Ramos de;Karam, José Abi;Warth, Maria do Patrocínio Tenório Nunes;Marca, Alexandre Frederico de;Jukemura, José;Machado, Marcel Cerqueira Cesar;Rocha, Antonino dos Santos;
Revista do Instituto de Medicina Tropical de S?o Paulo , 1992, DOI: 10.1590/S0036-46651992000100012
Abstract: this is a report of a 25 years old black woman from the city of s?o paulo, brazil, who developed acute obstructive cholangitis of ascaris lumbricoides with septicemia and multiple hepatic abscesses. the patient had sickle cell trait and normal delivery 3 months ago. massive infestation of the biliary tract by ascaris lumbricoides was diagnosed by abdominal ultrasonography and endoscopic retrograde cholangiography. sixty worms were removed from the common bile duct and hepatic abscesses were drained by surgery. the infectious process was polymicrobial. the patient's recovery was complete after a long evolution with a wide spectrum antibiotic therapy. new surgeries were needed to remove residual worms in the biliary tract. the diagnostic methods, clinical-biochemical features and also the clinical and surgical management are presented. the biliary ascariasis pathophysiology is commented.
Biliary atresia
Sinha C,Davenport Mark
Journal of Indian Association of Pediatric Surgeons , 2008,
Abstract: Biliary atresia (BA) is a cholangiodestructive disease affecting biliary tract, which ultimately leads to cirrhosis, liver failure and death if not treated. The incidence is higher in Asian countries than in Europe. Up to 10% of cases have other congenital anomalies, such as polysplenia, asplenia, situs inversus, absence of inferior vena cava and pre-duodenal portal vein, for which we have coined the term Biliary Atresia Splenic Malformation (BASM) syndrome. For these infants the aetiology lies within the first trimester of gestation. For others affected with BA, aetiology is more obscure and perinatal destruction of fully-formed ducts perhaps by the action of hepatotropic viruses has been suggested. Whatever the cause, the lumen of the extrahepatic duct is obliterated at a variable level and this forms the basis for the commonest classification (Types I, II, III). All patients with BA present with varying degree of conjugated jaundice, pale non-pigmented stools and dark urine. Key diagnostic tests include ultrasonography, biochemical liver function tests, viral serology, and (in our centre) a percutaneous liver biopsy. In some centres, duodenal intubation and measurement of intralumenal bile is the norm. Currently BA is being managed in two stages. The first stage involves the Kasai operation, which essentially excises all extrahepatic biliary remnants leaving a transected portal plate, followed by biliary reconstruction using a Roux loop onto that plate as a portoenterostomy. If bile flow is not restored by Kasai procedure or life-threatening complications of cirrhosis ensue then consideration should be given to liver transplantation as a second stage. The outcome following the Kasai operation can be assessed in two ways: clearance of jaundice to normal values and the proportion who survive with their native liver. Clearance of jaundice (< 2 mg/dL or < 34 μmol/L) after Kasai has been reported to be around 60%, whereas five years survival with native liver ranges from 40% to 65%.
Biliary cystadenoma  [cached]
Miguel A Hernandez Bartolome, Sagrario Fuerte Ruiz, Israel Manzanedo Romero, Beatriz Ramos Lojo, Ignacio Rodriguez Prieto, Luis Gimenez Alvira, Rosario Granados Carre?o, Manuel Limones Esteban
World Journal of Gastroenterology , 2009,
Abstract: The diagnosis of cystadenoma is rare, even more so when located in the extrahepatic bile duct. Unspecific clinical signs may lead this pathology to be misdiagnosed. The need for pathological anatomy in order to distinguish cystadenomas from simple biliary cysts is crucial. The most usual treatment nowadays is resection of the bile duct, together with cholecystectomy and Roux-en-Y reconstruction.
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