Korean J Parasitol.
2017 Dec;55(6):659-660. 10.3347/kjp.2017.55.6.659.
A Case of Biliary Ascariasis in Korea
- Affiliations
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- 1Division of Gastroenterology, Department of Internal Medicine, Dankook University College of Medicine, Dankook University Hospital, Cheonan 31116, Korea.
- 2Department of Parasitology and Research Center for Mummy, College of Medicine, Dankook University, Cheonan 31116, Korea. bbbenji@naver.com
- KMID: 2403717
- DOI: http://doi.org/10.3347/kjp.2017.55.6.659
Abstract
- Biliary ascariasis is still the leading cause of surgical complication of ascariasis, though its incidence has been dramatically reduced. Herein, we report a case of biliary ascariasis for the purpose of enhancing awareness of parasitic infections as a possible cause. A 72-year-old male visited the emergency room of Dankook University Hospital on 12 July 2015, complaining of right-upper-quadrant pain. By endoscopic retrograde cholangiopancreatography (ERCP), a tubular filling defect in the right hepatic duct was detected. The defect was endoscopically removed and diagnosed as an adult female of Ascaris lumbricoides worm, of 30 cm length. Upon removal of the worm, the pain subsided, and the patient was discharged without any complication. When treating cases of biliary colic, physicians should not neglect biliary ascariasis as the possible cause.
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