Ascariasis of the pancreatic duct.
BMJ Case Rep
; 20152015 Sep 15.
Article
em En
| MEDLINE
| ID: mdl-26374772
ABSTRACT
Ascariasis is a common helminthic disease worldwide, although Lithuania and other European countries are not considered endemic areas. The presence of the Ascaris worm in the biliary tree causes choledocholithiasis-like symptoms. We report a case of pancreatic duct ascariasis causing such symptoms. A 73-year-old Lithuanian woman underwent endoscopic retrograde cholangiopancreatography (ERCP) suspecting choledocholithiasis. Contrast injection into the common bile duct demonstrated a slightly dilated biliary tree without any filling defects, and the tail of an Ascaris worm protruding from the opening of the papilla Vater. The worm was captured by a snare but escaped deep into the duct. After a small wirsungotomy the worm was retrieved from the pancreatic duct. The patient received a 150â
mg dose of levamisole orally repeated 7â
days later and was discharged after complete resolution of symptoms. This first reported sporadic case of pancreatic duct ascariasis in Lithuania was successfully treated with ERCP and Levamisole.
Texto completo:
1
Bases de dados:
MEDLINE
Assunto principal:
Ductos Pancreáticos
/
Ascaríase
/
Dor Abdominal
/
Levamisol
/
Ascaris lumbricoides
/
Icterícia Obstrutiva
/
Antinematódeos
Tipo de estudo:
Diagnostic_studies
/
Etiology_studies
Limite:
Aged
/
Animals
/
Female
/
Humans
Idioma:
En
Revista:
BMJ Case Rep
Ano de publicação:
2015
Tipo de documento:
Article
País de afiliação:
Lituânia