Ascariasis in Common Bile Duct Resulting in a Subhepatic Abscess

Ascariasis in Common Bile Duct Resulting in a Subhepatic Abscess Pubmed

Anzali BC¹ ; Mohammadi N¹ ; Bahreini M² ; Esmaeili A³

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1. Department of Emergency Medicine, Urmia University of medical Sciences, Urmia, Iran
2. Prehospital and Hospital Emergency Research Center, Tehran University of Medical Sciences, Tehran, Iran
3. PGY-4 Resident of Internal Medicine, Department of Internal Medicine, Urmia University of medical Sciences, Urmia, Iran

Source: Acta Gastro-Enterologica Belgica Published:2020

Abstract

Background: Biliary system ascariasis can be a rare cause of acute abdomen. Patient report: A 70-year-old woman presented with abdominal pain for two weeks. She complained of a right upper quadrant (RUQ) pain, intermittent vomiting and weight loss. Physical examination showed RUQ and epigastric tenderness without rebound tenderness or guarding. Laboratory finding exhibited leukocytosis and mildly elevated liver enzymes. Results: Abdominal sonography showed distended gallbladder and a tubular lesion inside the common bile duct (CBD) in favor of a parasitic lesion. A large ascaris roundworm and blood clots were extracted from the CBD by endoscopic retrograde cholangiopancreatography and sphincterotomy. After 7 days, the disease process was complicated with a subhepatic abscess formation which was managed conservatively. Finally, the patient was discharged home in fair condition after 12 days of hospitalization. Conclusions: Ascariasis should be considered in endemic areas and early endoscopic intervention and medical therapy can be effective for extrahepatic involvement. © 2020, Universa Press. All rights reserved.

Style	Citing Format
MLA	Anzali BC, et al.. "Ascariasis in Common Bile Duct Resulting in a Subhepatic Abscess." Acta Gastro-Enterologica Belgica, vol. 83, no. 3, 2020, pp. 488-490.
APA	Anzali BC, Mohammadi N, Bahreini M, Esmaeili A (2020). Ascariasis in Common Bile Duct Resulting in a Subhepatic Abscess. Acta Gastro-Enterologica Belgica, 83(3), 488-490.
Chicago	Anzali BC, Mohammadi N, Bahreini M, Esmaeili A. "Ascariasis in Common Bile Duct Resulting in a Subhepatic Abscess." Acta Gastro-Enterologica Belgica 83, no. 3 (2020): 488-490.
Harvard	Anzali BC et al. (2020) 'Ascariasis in Common Bile Duct Resulting in a Subhepatic Abscess', Acta Gastro-Enterologica Belgica, 83(3), pp. 488-490.
Vancouver	Anzali BC, Mohammadi N, Bahreini M, Esmaeili A. Ascariasis in Common Bile Duct Resulting in a Subhepatic Abscess. Acta Gastro-Enterologica Belgica. 2020;83(3):488-490.
BibTex	@article{ author = {Anzali BC and Mohammadi N and Bahreini M and Esmaeili A}, title = {Ascariasis in Common Bile Duct Resulting in a Subhepatic Abscess}, journal = {Acta Gastro-Enterologica Belgica}, volume = {83}, number = {3}, pages = {488-490}, year = {2020} }
RIS	TY - JOUR AU - Anzali BC AU - Mohammadi N AU - Bahreini M AU - Esmaeili A TI - Ascariasis in Common Bile Duct Resulting in a Subhepatic Abscess JO - Acta Gastro-Enterologica Belgica VL - 83 IS - 3 SP - 488 EP - 490 PY - 2020 ER -

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