title: Wandering biliary ascariasis with hepatic abscess in a postmenopausal woman.
abstract: Hepatobiliary ascariasis is common in developing countries where there is a low standard of public health and hygiene. We are reporting a rare case of ascariasis which induced multiple liver abscesses in a post menopausal woman who presented with fever, anorexia, nausea, vomiting and mild hepatomegaly. Ultrasonography revealed biliary ascariasis with multiple hepatic abscesses. Laparoscopic drainage of hepatic abscesses was done and microscopic examination of drainage materials showed decorticated eggs of Ascaris Lumbricoides. The post operative recovery of the patient was uneventful. Ultrasonography is a reliable modality to diagnose and follow up of such cases.
authors.affiliation: Dr Nazmun Nahar, Medical Officer, Institute of Nuclear Medicine & Allied sciences (INMAS), Mymensingh, Bangladesh.
authors.forename: N
authors.initials: N
authors.lastname: Nahar
authors.forename: N
authors.initials: N
authors.lastname: Khan
authors.forename: S M
authors.initials: SM
authors.lastname: Islam
authors.forename: R K
authors.initials: RK
authors.lastname: Chakraborty
authors.forename: S Z
authors.initials: SZ
authors.lastname: Rima
authors.forename: M N
authors.initials: MN
authors.lastname: Alam
authors.forename: A S
authors.initials: AS
authors.lastname: Roy
mesh_terms: D000818:Animals; D000977:Antiparasitic Agents / Q000008:administration & dosage*; D001196:Ascariasis / Q000150:complications / Q000175:diagnosis / Q000503:physiopathology / Q000628:therapy; D017164:Ascaris lumbricoides / Q000302:isolation & purification*; D001660:Biliary Tract Diseases / Q000150:complications / Q000175:diagnosis / Q000503:physiopathology / Q000628:therapy; D005260:Female; D006801:Humans; D010535:Laparoscopy / Q000379:methods*; D008099:Liver / Q000000981:diagnostic imaging / Q000469:parasitology; D008100:Liver Abscess / Q000175:diagnosis / Q000209:etiology / Q000503:physiopathology / Q000601:surgery; D008875:Middle Aged; D017698:Postmenopause; D013396:Suction / Q000379:methods*; D016896:Treatment Outcome; D014463:Ultrasonography
chemical_list: D000977:Antiparasitic Agents