Acta Scientific Gastrointestinal Disorders (ISSN: 2582-1091)

Case Report Volume 3 Issue 3

Ascaris lumbricoides in the Main Biliary Duct as a Cause of Abdominal Pain in Young Adult

William Augusto Casteleins1*, Marcos Roberto Likes Mischiatti2, Marlon Rangel3 and Rafael William Noda4

1Department of General Surgery, Cajuru University Hospital and Department of Peritoneal Malignancies, Hospital Marcelino Champagnat; Pontifical Catholic University of Paraná, Brazil
2Vascular Surgeon and Technical Director at Angiclin, Maringá, Brazil
3Department of Gastrointestinal Surgery, Hospital Marcelino Champagnat, Brazil
4Department of Digestive Endoscopy, Hospital Marcelino Champagnat; Pontifical Catholic University of Paraná, Brazil

*Corresponding Author: William Augusto Casteleins, Department of General Surgery, Cajuru University Hospital and Department of Peritoneal Malignancies, Hospital Marcelino Champagnat; Pontifical Catholic University of Paraná, Brazil.

Received: January 17, 2020; Published: February 04, 2020

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Abstract

  It is reported a case of ascariasis (roundworm) stuck in the main biliary duct, in a 26 year-old men, presenting in the emergency department with acute abdominal pain, with a few hours from the start, characterized as dyspeptic-like. Complementary initial investigation was unremarkable, with no findings at ultrasound and slight elevation in canalicular enzymes, such as bilirubin (due to unconjugated fraction). During upper digestive endoscopy, the tail of a roundworm was seen coming out of the major duodenal papilla, and the parasite was easily extracted. Abdominal pain was totally resolved after the procedure. We provide a brief discussion of the epidemiological and physiological aspects of Ascaris lumbricoides´ infestation in the biliary tree, imaging exams and investigation, treatment options, drug therapy and potential complications.

Keywords: Ascaris lumbricoides; Abdominal Pain; Upper Digestive Endoscopy

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Citation

Citation: William Augusto Casteleins., et al. “Ascaris lumbricoides in the Main Biliary Duct as a Cause of Abdominal Pain in Young Adult”. Acta Scientific Gastrointestinal Disorders 3.3 (2020): 01-03.



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