Biliary ascariasis after Roux-en-Y hepaticojejunostomy.
The authors report on a 6-year-old girl with biliary ascariasis after surgical treatment of a choledochal cyst and biliary-digestive tract reconstruction by Roux-en-Y hepaticojejunostomy. A precise diagnosis can be obtained by ultrasonography. Surgical treatment is required when clinical and endoscopic treatments fail. In countries in which this disease is endemic, biliary ascariasis should be considered in the differential diagnosis of cholangitis after surgery for hepaticojejunostomy.
Braga
L H
LH
Department of Surgery, Faculty of Medicine, Hospital das Clínicas, Federal University of Minas Gerais, Belo Horizonte, MG, Brazil.
Tatsuo
E S
ES
Guimarães
J T
JT
Miranda
M E
ME
Paixão
R M
RM
Teixeira
C R
CR
Piçarro
C
C
Lanna
J C
JC
D000713:Anastomosis, Roux-en-Y; D001196:Ascariasis / Q000175:diagnosis* / Q000188:drug therapy / Q000453:epidemiology; D001938:Brazil / Q000453:epidemiology; D002648:Child; D002761:Cholangitis / Q000175:diagnosis / Q000188:drug therapy / Q000469:parasitology*; D015529:Choledochal Cyst / Q000601:surgery; D003937:Diagnosis, Differential; D019353:Endemic Diseases; D005260:Female; D006801:Humans; D007582:Jejunostomy; D011183:Postoperative Complications / Q000175:diagnosis* / Q000188:drug therapy