Ascarid worms causing recurrent cholangitis in a patient with an obstructing ampullary tumour.
This is a report of a 57-year-old Malay lady who presented with recurrent episodes of cholangitis and septicaemia. A dilated biliary tree caused by a stenosing periampullary tumour was found to contain adult round worms. A pancreatico-duodenectomy was performed following biliary decompression. Ascarid worms are a rare cause of cholangitis in malignant biliary obstruction.
Khan
T F
TF
Department of Surgery, School of Medical Science, Hospital University Sains Malaysia, Kelantan.
Zahari
A
A
Sherazi
Z A
ZA
Visvanathan
R
R
D000231:Adenocarcinoma, Papillary / Q000150:complications* / Q000473:pathology; D014670:Ampulla of Vater / Q000473:pathology*; D001196:Ascariasis / Q000150:complications*; D002761:Cholangitis / Q000150:complications / Q000469:parasitology*; D001651:Cholestasis, Extrahepatic / Q000209:etiology*; D003137:Common Bile Duct Diseases / Q000209:etiology / Q000469:parasitology*; D003138:Common Bile Duct Neoplasms / Q000150:complications* / Q000473:pathology; D005260:Female; D006801:Humans; D008875:Middle Aged; D012008:Recurrence