Biliary ascariasis from a rural setting: a case study.
Ascariasis is a common helminthic infestation in Malaysia, particularly in rural settings. Ascariasis lumbricoides normally lives in the upper small bowel without causing symptoms. Complications arise when these worms migrate into the bile duct (biliary ascariasis). A case of biliary ascariasis pres...
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my-ukm.journal.67422016-12-14T06:42:04Z http://journalarticle.ukm.my/6742/ Biliary ascariasis from a rural setting: a case study. Sai Sanjeev, M Lum, LC Ascariasis is a common helminthic infestation in Malaysia, particularly in rural settings. Ascariasis lumbricoides normally lives in the upper small bowel without causing symptoms. Complications arise when these worms migrate into the bile duct (biliary ascariasis). A case of biliary ascariasis presenting as biliary colic is described. Patient presented with 2 days duration of right upper quandrant pain at the district hospital. Initial investigations were suggestive of acute cholecystitis and patient was treated with empirical antibiotics. However, due to worsening symptoms, she was transferred to the nearest tertiary setting. The diagnosis of helminthic biliary infestation was established using both ultrasound of the hepatobiliary system (HBS), CT-Scan abdomen and endoscopic retrograde cholangiopancreatography (ERCP). Endoscopic removal of the worm led to rapid resolution of symptoms and patient was discharged home well. Penerbit UKM 2012-12 Article PeerReviewed application/pdf en http://journalarticle.ukm.my/6742/1/05-MS146_%28102-106%29.pdf Sai Sanjeev, M and Lum, LC (2012) Biliary ascariasis from a rural setting: a case study. Medicine & Health, 7 (2). pp. 102-106. ISSN 1823-2140 http://www.medicineandhealthukm.com/ |
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Ascariasis is a common helminthic infestation in Malaysia, particularly in rural settings. Ascariasis lumbricoides normally lives in the upper small bowel without causing symptoms. Complications arise when these worms migrate into the bile duct (biliary ascariasis). A case of biliary ascariasis presenting as biliary colic is described. Patient presented with 2 days duration of right upper quandrant pain at the district hospital. Initial investigations were suggestive of acute cholecystitis and patient was treated with empirical antibiotics. However, due to worsening
symptoms, she was transferred to the nearest tertiary setting. The diagnosis of helminthic biliary infestation was established using both ultrasound of the hepatobiliary
system (HBS), CT-Scan abdomen and endoscopic retrograde cholangiopancreatography (ERCP). Endoscopic removal of the worm led to rapid resolution of symptoms and patient was discharged home well. |
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Article |
author |
Sai Sanjeev, M Lum, LC |
spellingShingle |
Sai Sanjeev, M Lum, LC Biliary ascariasis from a rural setting: a case study. |
author_facet |
Sai Sanjeev, M Lum, LC |
author_sort |
Sai Sanjeev, M |
title |
Biliary ascariasis from a rural setting: a case study. |
title_short |
Biliary ascariasis from a rural setting: a case study. |
title_full |
Biliary ascariasis from a rural setting: a case study. |
title_fullStr |
Biliary ascariasis from a rural setting: a case study. |
title_full_unstemmed |
Biliary ascariasis from a rural setting: a case study. |
title_sort |
biliary ascariasis from a rural setting: a case study. |
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Penerbit UKM |
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2012 |
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http://journalarticle.ukm.my/6742/1/05-MS146_%28102-106%29.pdf http://journalarticle.ukm.my/6742/ http://www.medicineandhealthukm.com/ |
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