Biliary ascariasis: report of a case. 1994

C H Chen, and J M Wong, and Y T Hwang, and J T Lin, and T H Wang
Department of Internal Medicine, National Taiwan University Hospital, Taipei, R.O.C.

A 64-year-old female aborigine presented with acute cholangitis and obstructive jaundice for three days. Abdominal ultrasonography showed dilatation of the common bile duct, intrahepatic ducts and a linear tubular structure in the common bile duct. Duodenoscopy showed a live Ascaris protruding through the papilla of Vater, which was retracted endoscopically. Cholangitis improved dramatically after worm extraction and nasobiliary drainage. Endoscopic retrograde cholangiography revealed another worm retained in the common bile duct. It disappeared spontaneously from the common bile duct one week later. The barium study of the intestine showed multiple filling defects in the terminal ileum. A total of five worms passed into the stool after treatment with pyrantel pamoate.

UI MeSH Term Description Entries
D008875 Middle Aged An adult aged 45 - 64 years. Middle Age
D011716 Pyrantel Pamoate Broad spectrum antinematodal anthelmintic used also in veterinary medicine. Pyrantel Embonate,Antiminth,Combantrin,Embovin,Embonate, Pyrantel,Pamoate, Pyrantel
D002761 Cholangitis Inflammation of the biliary ductal system (BILE DUCTS); intrahepatic, extrahepatic, or both. Cholangitides
D004384 Duodenoscopy Endoscopic examination, therapy or surgery of the luminal surface of the duodenum. Duodenoscopic Surgical Procedures,Surgical Procedures, Duodenoscopic,Duodenoscopic Surgery,Surgery, Duodenoscopic,Duodenoscopic Surgeries,Duodenoscopic Surgical Procedure,Duodenoscopies,Procedure, Duodenoscopic Surgical,Procedures, Duodenoscopic Surgical,Surgeries, Duodenoscopic,Surgical Procedure, Duodenoscopic
D005260 Female Females
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D001196 Ascariasis Infection by nematodes of the genus ASCARIS. Ingestion of infective eggs causes diarrhea and pneumonitis. Its distribution is more prevalent in areas of poor sanitation and where human feces are used for fertilizer. Ascaris Infection,Ascariases,Ascaris Infections,Infection, Ascaris,Infections, Ascaris
D001659 Biliary Tract The BILE DUCTS and the GALLBLADDER. Biliary System,Biliary Tree,System, Biliary,Tract, Biliary,Tree, Biliary
D013624 Taiwan Country in eastern Asia, islands bordering the East China Sea, Philippine Sea, South China Sea, and Taiwan Strait, north of the Philippines, off the southeastern coast of China. The capital is Taipei. The alternate country name is Republic of China. Formosa,Republic of China

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