[Liver abscess with pleuropulmonary fistula following hepatobiliary ascariasis in a 18-month-old infant. Apropos of a case with recovery for over 10 years].
This study deals solely with the problem of intra-hepatic collected suppuration due to an ascaris migration through the liver ducts. It is due to the infestation of the intestine germs carried away by the worm but not by the ascaris itself which can die calcified inside the liver without hearing of it, provided no mechanical complication has happened, or if it has returned to the intestine environment. When the illness starts with hepatic colic, a pyrexy with a painful right hypochondria and a painful liver-swelling, if the positive diagnosis, that can have been made from the cutaneous allergy test, the R.A.S.T. [Radioallergosorbent Test]. the sonographic diagnosis, the cholangiography and the C.T. scan, can be proved only by curative aiming surgery, mainly in on-endemic countries. The pre and post-operative anti-helmintics are strongly advised to avoid a reinfestation of the illness.
D000980:Antiplatyhelmintic Agents / Q000627:therapeutic use; D001196:Ascariasis / Q000150:complications* / Q000000981:diagnostic imaging / Q000628:therapy; D005500:Follow-Up Studies; D006801:Humans; D007223:Infant; D008100:Liver Abscess / Q000000981:diagnostic imaging / Q000209:etiology* / Q000601:surgery; D008297:Male; D011859:Radiography
D000980:Antiplatyhelmintic Agents
Abcès du foie avec fistule pleuro-pulmonaire consécutif à une ascaridiose hépato-biliaire chez un nourrisson de 18 mois. A propos d'une observation avec guérison et recul de plus de 10 ans.