Solarana OJA, Martínez RO, Guzmán LDJ, Santiesteban CN, Pérez PA

Language: Spanish
References: 9
Page: 1-8
PDF size: 437.54 Kb.

ABSTRACT

Introduction: Ascaris lumbricoides is the most frequent helminthiasis in the human gastrointestinal tract; the highest prevalence is recorded in developing, tropical and subtropical countries. In Cuba, it constitutes an exotic cause of obstructive jaundice with few reported cases.
Objective: To describe the successful therapeutic management of a case of a man with obstructive jaundice secondary to choledochal ascariasis.
Clinical case report: We report the case of a 74-year-old patient operated on at Lucía Íñiguez Landín Surgical Clinical Hospital, in Holguín province, for obstructive jaundice due to choledochal ascariasis, with satisfactory clinical-surgical evolution.
Conclusions: In developing countries, ascariasis should be taken into account as a cause of biliary or pancreatic obstructive disease. Knowledge of the clinical condition and its complications, in addition to the different treatment options, should be the domain of every physician. Obstructive jaundice due to ascaris lumbricoides constitutes an exotic cause of this parasite infestation in Cuba.

REFERENCES

1. Mukhopadhyay M. Biliaryascariasis in the Indiansubcontinent: a study of 42 cases. Saudi J Gastroenterol. 2009 [acceso 02/11/2020];15(2):1214. Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2702965/1.

2. Vilera C, María F, De Oliveira G, Diana C. Áscaris lumbricoides en vía biliar. CIMEL. 2018;23(1):77-8. DOI: https://doi.org/10.23961/cimel.v23i1.10712.

3. García Espinoza JA, Vásquez Ciriaco S, Doña Jaimes R, Aragon Soto R, Velazco Budar C, López Martínez E, et al. Parasitosis in the bile duct, report of 3 cases and literatura review. Rev Med Hosp Gen Méx. 2018 [acceso 02/11/2020];81(s1):18-23. Disponible en: https://www.elsevier.es/en-revista-revista-medica-del-hospital-general-325-pdf-S01851063163007133.

4. Ishikawa T, Meier Stephenson V, Heitman SJ. Biliary obstruction caused by the liver fluke, Fasciola hepatica. CMAJ. 2016 abr [acceso 02/11/2020];188(7):524-6. Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4835282/4.

5. Sharma M, Somani P, Prasad R, Jindal S, Pathak A. Biliary ascariasis: mimicker of biliary stent. Video case report. 2017 jul [acceso 02/11/2020];2(7):79-181. Disponible en: https://www.videogie.org/article/S2468-4481(17)30074-7/fulltext5.

6. Fuente Lirade la M, Molotla Xolalpa C, Rocha Guevara ER. Ascariasis biliar. Informe de un caso y revisión en la literatura. Cir Ciruj. 2006 [acceso 02/11/2020];74:195-8. Disponible en: https://www.medigraphic.com/pdfs/circir/cc-2006/cc063i.pdf6.

7. Alhamid A, Aljarad Z, Ghazal A, Mouakeh A, Sankari Tarabishi A, Joudeh M, et al. Successful Elimination of Gallbladder Ascariasis by Conservative Therapy, Followed by Cholecystectomy due to Developing Cholecystitis. Case Reports in Gastrointestinal Medicine. 2018 [acceso 02/11/2020];2018(ID 5831257):4. Disponible en: http://downloads.hindawi.com/journals/crigm/2018/5831257.pdf7.

8. Nayak B, Dash RR, Mallik BN. Round worm in common bile duct, a rare pathology: Review of 15 cases. J Health Spec. 2014 [acceso 02/11/2020];2:174-6. Disponible en: https://www.thejhs.org/text.asp?2014/2/4/174/1427898.

9. Said A, Muhammad A, Maysoon M, Masood UR, Amer AJ. Biliary ascariasis leading to choledocholithiasis, cholangitis, hepatic abscesses and gran negative septicemia. Anaesth Pain & Intensive Care. 2012 [acceso 02/11/2020];16(2):186-88. Disponible en: https://applications.emro.who.int/imemrf/Anaesth_Pain_Intensive_Care/Anaesth_Pain_Intensive_Care_2012_16_2_186_188.pdf9.