Roundworm obstruction of the hepatic limb of a Roux-en-Y anastomosis.
A 7-year-old female with a type I choledochal cyst underwent an exploratory laparotomy. A Roux-en-Y choledochojejunostomy was done following cyst excision. The patient was re-explored 8 days later for an anastomotic bile leak and high fever. A round-worm was found obstructing the jejunal lumen at the porta hepatis, resulting in a biliary leak. Various aspects of biliary ascariasis are discussed along with the case report.
C/O Dr. Viraj Tambwekar, 14/A, "Sneha Sadan", 2nd floor, Mangal Wadi, Girgaum, Bombay, India.
L S
LS
Kasat
A
A
Naregal
M
M
Jain
R
R
Bajaj
S S
SS
Borwankar
D000713:Anastomosis, Roux-en-Y; D001196:Ascariasis / Q000150:complications*; D002648:Child; D015529:Choledochal Cyst / Q000601:surgery; D005260:Female; D006801:Humans; D007415:Intestinal Obstruction / Q000469:parasitology*; D007579:Jejunal Diseases / Q000469:parasitology*; D011183:Postoperative Complications / Q000469:parasitology*