[Coincidental finding of biliary ascariasis].
We describe a case of biliary ascariasis in a 27-year-old Philippine au-pair with recurrent upper abdominal pain. Hepatobiliary ascariasis is rarely seen in non-endemic areas. The diagnosis is important because severe complications can occur. If migrated into the biliary tree, it is recommended to perform endoscopic extraction combined with antihelmintic therapy. In severe cases, the recommendation is laparoscopic cholecystectomy and peroperative exploration of the common hepatic duct.
Kristensen
Anders Donatsky
AD
Herlev Hospital, Gastroenheden, Denmark. andersdonatsky@gmail.dk
Achiam
Michael
M
D015746:Abdominal Pain / Q000175:diagnosis* / Q000469:parasitology; D000328:Adult; D000818:Animals; D000871:Anthelmintics / Q000627:therapeutic use; D001196:Ascariasis / Q000175:diagnosis*; D017164:Ascaris lumbricoides / Q000302:isolation & purification; D001660:Biliary Tract Diseases / Q000175:diagnosis* / Q000188:drug therapy / Q000469:parasitology; D002761:Cholangitis / Q000175:diagnosis / Q000188:drug therapy / Q000469:parasitology; D003937:Diagnosis, Differential; D004386:Duodenum / Q000469:parasitology; D005260:Female; D006801:Humans; D033162:Incidental Findings; D008109:Liver Diseases, Parasitic / Q000175:diagnosis* / Q000188:drug therapy / Q000469:parasitology
D000871:Anthelmintics