Pancreatitis aguda por Ascaris Lumbricoides: presentación de un caso clínico
Journal Title: Revista Eugenio Espejo - Year 2018, Vol 12, Issue 1
Abstract
Clinical case: male patient of 30 years of age, with abdominal pain of 24 hours of evolution. Physical examination showed distended abdomen, painful epigastrium and right hypochondrium. Paraclinics indicated leukocytosis (12,400 / cc), elevation of amylase 3.2 N, lipase 6.8 N, CRP of 192 mg / dl and procalcitonin of 0.136 ng / ml. Ultrasound of the abdomen showed absence of dilation signs of the biliary tract intra and extra hepatic ascariasis. The simple and contrasted abdomen tomography reported a Baltazar C. The persistent epigastric pain motivated the performance of an upper digestive endoscopy; it was observed a specimen of ascaris nestled in the duodenal papilla which was removed with a handle clamp for a foreign body. Conclusions: intestinal parasitosis is an important cause of obstruction of the bile duct and acute inflammatory abdomen, which requires timely attention in the patient.
Authors and Affiliations
Héctor Fabián Ortega Castillo Hospital General IESS, Ecuador Juan Carlos Piedra Cosíos Hospital de las Fuerzas Armadas, Ecuador Roberto Antonio Polit Dueñas Hospital de la Policía Quito Nº1, Ecuador
Keywords
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- EP ID EP694953
- DOI https://doi.org/10.37135/ee.004.04.07
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