G. Amog et al., A case report of ascariasis of the common bile duct in a patient who had undergone cholecystectomy, ARCH PATH L, 124(8), 2000, pp. 1231-1232
Citations number
7
Categorie Soggetti
Research/Laboratory Medicine & Medical Tecnology","Medical Research Diagnosis & Treatment
This is a case report of ascariasis of the common bile duct in a 65-year-ol
d man from Colombia who had undergone prior cholecystectomy. The patient pr
esented with postprandial epigastric pain and a 20-lb weight loss. The labo
ratory findings were remarkable for peripheral blood eosinophilia, The ultr
asound finding was suggestive of periampullary or pancreatic neoplasm. He u
nderwent endoscopic retrograde cholangiopancreatography with endoscopic ext
raction of a motile, live worm identified as Ascaris lumbricoides. Roundwor
m infestation should always be suspected in immigrants from endemic areas w
ho present with hepatobiliary symptoms.