Wang X, Lv YL, Cui SN, Zhu CH, Li Y, Pan YZ. Endoscopic management of biliary ascariasis: A case report. World J Clin Cases 2021; 9(20): 5695-5700 [PMID: 34307627 DOI: 10.12998/wjcc.v9.i20.5695]
Corresponding Author of This Article
Yao-Zhen Pan, MD, Chief Doctor, Department of Hepatobiliary Surgery, The Affiliated Cancer Hospital of Guizhou Medical University, No. 1 Beijing West Road (next to Qianling Park), Guiyang 550001, Guizhou Province, China. panyaozhen112@163.com
Research Domain of This Article
Gastroenterology & Hepatology
Article-Type of This Article
Case Report
Open-Access Policy of This Article
This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
Xing Wang, Yan-Lin Lv, Yao-Zhen Pan, Department of Hepatobiliary Surgery, The Affiliated Cancer Hospital of Guizhou Medical University, Guiyang 550001, Guizhou Province, China
Sheng-Nan Cui, Chang-Hao Zhu, Ying Li, Graduate School, Guizhou Medical University, Guiyang 550001, Guizhou Province, China
Author contributions: Pan YZ and Wang X contributed to conception and design of the study and performed the operation for the patient; Lv YL and Cui SN collected the medical history, reviewed the literature, and wrote the initial draft of the manuscript; Zhu CH and Li Y participated in the clinical management and follow-up of the patient and analysis and interpretation of data; All authors issued final approval for the version to be submitted.
Supported byNational Natural Science Foundation of China, No. 81960535; and Big Health Cooperation Project of Guiyang Science and Technology Bureau, Zhuke Contract, 2019, No. 9-7-35.
Informed consent statement: The patient provided informed written consent for publication of this case and accompanying images.
Conflict-of-interest statement: The authors declare that they have no conflicts of interest.
CARE Checklist (2016) statement: The authors have read the CARE Checklist (2016), and the manuscript was prepared and revised according to the CARE Checklist (2016).
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Yao-Zhen Pan, MD, Chief Doctor, Department of Hepatobiliary Surgery, The Affiliated Cancer Hospital of Guizhou Medical University, No. 1 Beijing West Road (next to Qianling Park), Guiyang 550001, Guizhou Province, China. panyaozhen112@163.com
Received: March 5, 2021 Peer-review started: March 5, 2021 First decision: April 13, 2021 Revised: April 21, 2021 Accepted: April 23, 2021 Article in press: April 23, 2021 Published online: July 16, 2021 Processing time: 123 Days and 23.1 Hours
Abstract
BACKGROUND
Biliary ascariasis is rare but remains the most common parasitic infection in remote areas and in people with poor medical conditions. Here, we reported a case of biliary ascariasis in order to raise awareness of possible parasitic infections.
CASE SUMMARY
A 68-year-old female was admitted to the emergency room of the Affiliated Hospital of Guizhou Medical University on 28 September 2017, with chief complaint of pain in the right upper abdomen. Ultrasonography of the abdomen showed that the upper segment of the common bile duct was slightly dilated with parallel tubular structures, indicative of biliary ascariasis. Endoscopic retrograde cholangiopancreatography was performed under general anesthesia on 29 September 2017, and an adult Ascaris lumbricoides worm was observed. After the worm was removed from the bile duct, the patient’s pain immediately subsided. The patient was successfully cured, without any complications.
CONCLUSION
This report emphasizes the need for physicians to consider biliary ascariasis as a possible cause when treating cases of biliary colic.
Core Tip: As far as we know, biliary ascariasis is an extremely rare infectious disease. The clinical symptoms of biliary ascariasis are similar to those of biliary calculi, so the differential diagnosis is very important. This case is a typical biliary ascariasis. After detailed physical examination, biochemical examination, abdominal ultrasound and endoscopic retrograde cholangiopancreatography technology, we finally successfully diagnosed and treated biliary ascariasis. In order to attract clinical attention and effective treatment, this article reviews the literature on the diagnosis and treatment of biliary ascariasis.
