Ascariasis in the hepatobiliary system: laparoscopic management

Journal of the American College of Surgeons
J Andrés AstudilloRubén Astudillo

Abstract

Ascariasis is an endemic disease in developing countries. The parasite can invade the hepatobiliary tree and cause symptoms. Medical therapy can be ineffective in these patients and intervention techniques required. A retrospective review of patient charts between February 1992 and February 2007 in the Hospital Latinoamericano, Cuenca, Ecuador, was performed to identify patients having surgical or endoscopic treatment for hepatobiliary ascariasis. Patient demographics, treatment algorithms, and outcomes are described and analyzed. There were 13 cases of hepatobiliary infestation by ascaris treated through endoscopy or operation. All patients presented with colicky abdominal pain in the right upper quadrant. Hepatic and biliary ultrasonography identified parasites in 12 patients. In the other patient, a hepatic abscess containing ascaris was found incidentally during cholecystectomy. There were 11 patients with ascariasis in the common bile duct, 1 in whom the cystic duct was occluded, causing acute cholecystitis. In 12 patients, conservative management was attempted and was unsuccessful. Endoscopic extraction was successful in four of these patients. Six patients underwent laparoscopic cholecystectomy, common bile duct explorat...Continue Reading

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Citations

Jun 4, 2014·Radiologic Clinics of North America·Benjamin L Yam, Evan S Siegelman
May 6, 2014·BMJ Case Reports·Gokulakrishnan Balasubramanian
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Related Concepts

Ascariasis
Biliary Tract Diseases
Liver Diseases, Parasitic
Surgical Procedures, Laparoscopic
Retrospective Studies
Ascariasis
Ascaris
Bile Duct Structure
Cholecystectomy Procedure
Cystic Duct Structure

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