The adventures of ‘Ascaris lumbricoides’ - An intrepid traveller
Journal Title: International Journal of Medical Research and Review - Year 2016, Vol 4, Issue 9
Abstract
Hepatobiliary ascariasis is an underestimated & unforeseen corollary of gastrointestinal ascariasis particularly common amongst the endemic populations. A high index of suspicion coupled with the increased use of ultrasonography & endoscopic procedures have unravelled this deviant sequel of helminth infestation. Conservative measures with meticulous sonographic surveillance remain the preferred first-line treatment for worms confined to the biliary ducts; with, endoscopic and surgical interventions being reserved for the persistently symptomatic or when complications ensue. Gall bladder ascariasis however mandates aggressive endoscopic/ surgical measures in most cases due to poor inherent response to pharmacotherapy alone. We hereby present the study of a 10 years old female child with the sonographic, MRCP, per-operative & histopathological correlates of hepatobiliary ascariasis. The bizarre eventuality of the worm migrating from the gastrointestinal tract and traversing across the intrahepatic ducts to ultimately lodge within the gall bladder (as demonstrated on consecutive scans & confirmed per-operatively), especially across narrow calibre childhood ducts is a singular affair and hence consigns exclusivity to our case.
Authors and Affiliations
Saryu Gupta, Jaswinder Kaur Mohi, Manoj Mathur, D. P. Singh
Keywords
Related Articles
- EP ID EP231028
- DOI 10.17511
- Views 88
- Downloads 0
Characteristics of multi drug resistant tuberculosis cases at a selected tertiary level hospital
Background: This study was carried out to determine the characteristics of MDR-TB cases under treatment at National Institute of Diseases of the Chest and Hospital (NIDCH), Mohakhali, Dhaka. Methods: This was a descripti...
Clinical study of coparision of pterygium surgery with and without Mitomycin-C on bare sclera technique
Introduction: A pterygium is a triangular wedge of fibro-vascular conjunctival tissue that appears on the epibulbar conjunctiva, which can be removed by various methods. Recurrence of Pterygium after exicision is a very...
Study of clinical profile of tuberculosis in HIV infected patients with special reference to CD4 T cell count and its oral manifestation
Aim: To study the clinical profile of tuberculosis in HIV infected patients and to compare the different clinical data with their CD4 counts with reference to oral health. Material Methods: Total 100 cases attending Depa...
Evaluation of enzyme immunoassay based on detection of pLDH antigen for the diagnosis of malaria
Introduction: Timely diagnosis of malaria is a challenge in most endemic areas due to lack of resources. The methods most commonly used are microscopy, regarded as the gold standard, and rapid dipstick tests (RDT) which...
A study to assess the prevailing misconception on HIV/AIDS among rural population
Introduction: HIV, the human immunodeficiency virus, is the virus that causes AIDS. For many reasons, AIDS is a disease that commonly misunderstood disease and as a result, unduly feared, but the weapon against fear is k...