TITLE:
Biliary Ascariasis: An Unusual Cause of Biliary Colic
AUTHORS:
Ousmane Thiam, Mohamadou Lamine Gueye, Alpha Oumar Toure, Mamadou Seck, Lera Geraud Akpo, Hamidou Deme, Mamadou Cisse, Ousmane Ka, Madieng Dieng, Abdarahmane Dia, Cheikh Tidiane Toure
KEYWORDS:
Ascariasis, Biliary Ascarisis, Cholecystitis, Pancreatitis, Cholangitis
JOURNAL NAME:
Open Access Library Journal,
Vol.2 No.10,
October
28,
2015
ABSTRACT: Introduction: Ascariasis
by Ascaris lumbricoides is a
cosmopolitan disease. Biliary ascariasis is unusual in our country. We report a
case of biliary ascariasis revealed by biliary colic. Observation: A
22-year-old woman with no particular history was received for biliary colic
associated to vomiting without fever or bowel disorders. On examination, there
were pain and defense at the right upper quadrant and a Murphy sign. Moreover,
the clinical examination was normal. Blood cells count, renal function, liver
function, coagulation and blood ionogram were normal. The abdo-minopelvic
ultrasonography showed a probable parasitosis of the bile duct with gallbladder
sludge and dilatation of the common bile duct. The abdominopelvic CT scan
revealed intrahepatic and common bile duct (CBD) dilatation and organic image
in the common bile duct. Right sub-costal laparotomy was allowed to extract an
ascaris blocking the common bile duct. A cholecys-tectomy and drainage of the
bile duct with a Kehr drain were performed. The postoperative course was marked
by wound surgical suppurative resolved by treatment. She was discharged on the 9th post-operative day. T-tube was removed on the 21st post-operative day after normal cho-langiography. Conclusion: Biliary
ascariasis is rare in our regions. The diagnosis must be kept in mind in case
of biliary colic and ultrasound confirm the diagnosis. Surgical treatment gives
good results in our regions.