Acute necrotising pancreatitis from ascariasis in a gravid patient.

Rarer causes of acute pancreatitis may be considered in certain settings, such as parasitism in endemic regions. This report describes a pregnant female (second trimester) in her 20s who presented with 3-day steady epigastric pain radiating to the back and passage of worm from the mouth. She was diagnosed with mild acute pancreatitis, given a significantly elevated serum lipase and absence of organ failures. Fecalysis showed Ascaris lumbricoides ova; hence, she was treated with mebendazole. Plain MR cholangiopancreatography showed an 842 mL necrotic pancreatic fluid collection and tubular flow void foci within the gallbladder and duodenum consistent with helminthiasis. The patient was managed conservatively in the absence of indications for drainage. The abdominal pain remarkably improved, and she underwent eventual vacuum-assisted delivery to a healthy term baby 4 months after the bout of acute pancreatitis.

Acute hemorrhagic necrotizing pancreatitis in falciparum malaria.

Malaria is a pathology caused by a parasite called Plasmodium, characteristic of tropical countries. The most frequent symptomatology includes cerebral malaria, jaundice, convulsive crisis, anemia, hypoglycemia, kidney failure and metabolic asidosis, among others. We are presenting the case of a patient diagnosed with malaria who suffered from acute necrotizing hemorrhagic pancreatitis and evolved poorly, as an example of this combination of symptoms, rarely found in our country.

[Acute necrotizing pancreatitis and complete atrioventricular block complicating the course of ascaris infection in an adult patient]. / Pancréatite aiguë nécrosante et bloc auriculo-ventriculaire complet compliquant une ascaridiose de l'adulte.

Ascaris lumbricoides, a large round nematode, which causes human ascariasis, is the most prevalent helminth in the world. Ascariasis is usually asymptomatic but can cause serious complications, with a mortality rate of 5%. We report a 55-year-old woman from Comoros who presented with ascariasis complicated by occult cholangitis, severe acute pancreatitis, and transient complete heart-block. Cardiac damage due to migrating ascaris larvae was the likely explanation of the transient heart-block in this patient, although such a complication had never been described previously.

Pancreatitis Aguda Recidivante por Ascaris Lumbricoides / Acute necrotising pancreatitis by ascaris lumbricoides

La ascariasis es la parasitosis más frecuente de todas las helmintiasis en humanos. Los efectos patológicosproducidos por los áscaris en el hombre se presentan en lugares diversos, de acuerdo con la localizaciónde sus distintas formas evolutivas. La ascariasis biliar en una de las complicaciones más severas.Presentamos un caso de pancreatitis aguda producida por infestación por Áscaris

Ascariasis is the commonest parasitosis of all human helminths. The pathological effects that ascaris producesin man manifest in different locations, in accordance with the location of its different evolutionaryforms. Biliary ascaris is one of the severest complications. We present a case of acute pancreatitis produced by Ascaris infestation

Biliary ascariasis with acute hemorrhagic pancreatitis: a case report.

A case of acute hemorrhagic pancreatitis associated with biliary ascariasis in a 35 year old man is reported. Clinical presentation and laboratory investigation along with management outcome are discussed.