Hepatobiliary ascariasis complicated by obstructive jaundice: case-report and mini-review

Autor: Volodymyr BUKATA, Andrii CHORNOMYDZ
Jazyk: English<br />French
Rok vydání: 2020
Předmět:
Zdroj: Archives of the Balkan Medical Union, Vol 55, Iss 3, Pp 504-509 (2020)
Druh dokumentu: article
ISSN: 1584-9244
2558-815X
DOI: 10.31688/ABMU.2020.55.3.18
Popis: Introduction. The development of obstructive jaundice caused by hepatobiliary ascariasis is quite rare. The main factors contributing to the occurrence of mechanical obstruction of bile leakage are the death of helminth in the lumen of the duct, the massive invasion of the biliary tract by ascarids, or the accompanying stenotic papillitis. Case presentation. We describe a case of obstructive jaundice in a woman with massive ascariasis of the biliary tract and stenotic papillitis. The treatment strategy consisted in endoscopic retrograde cholangiopancreatography (ERCP) with mechanical removal of helminths from the bile ducts, papillosphincterotomy, antihelmintic drugs and symptomatic therapy. Conclusions. Biliary ascariasis must enter into the differential diagnosis of biliary duct pathologies, especially in endemic regions for this parasitosis. ERCP may be an important therapeutic method for this disease.
Databáze: Directory of Open Access Journals