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VOLUME 3 , ISSUE 3 ( September-December, 2010 ) > List of Articles

RESEARCH ARTICLE

Laparoscopic Management of Biliary Ascariasis: A Case Report and Review of Literature

Khairi Hajaji, Hisham Aljohary, Hassan Althani

Citation Information : Hajaji K, Aljohary H, Althani H. Laparoscopic Management of Biliary Ascariasis: A Case Report and Review of Literature. World J Lap Surg 2010; 3 (3):113-115.

DOI: 10.5005/jp-journals-10007-1094

Published Online: 01-12-2012

Copyright Statement:  Copyright © 2010; The Author(s).


Abstract

Background

Ascaris lumbricoides as etiology to acute pancreatitis has never been described in Qatar whereas in developing tropical and subtropical areas, Ascaris lumbricoides is found in human gastrointestinal tract with greater prevalence.1 Although the infection can be asymptomatic, in some cases the adult parasite can invade the biliary or pancreatic ducts and cause obstruction with development of cholecystitis, cholangitis, and pancreatitis and hepatic abscesses.2 We report a case of a patient with biliary ascariasis induced acute pancreatitis.

Conclusion

We recommend the use of this laparoscopic approach for treatment of such uncommon pathology, if surgical intervention is needed. The differential diagnosis of pancreatitis should be expanded to include ascariasis in patients who come from population at risk. Knowledge of clinical symptoms, complications, and diagnostic and therapeutic options are of paramount importance for all health professionals.

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  18. Ascariasis in the hepatobiliary system: Laparoscopic management. J Am Coll Surg Oct 2008;207(4):527-32. Epub 2008 Jul 14.
  19. Laparoscopic common bile duct exploration for extraction of a round worm. Trop Gastroenterol Oct-Dec. 2006;27(4):169-71.
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