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
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
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): 23-25.
Copyright: © 2020 William Augusto Casteleins., et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.