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Endoscopic removal of Ascaris lumbricoides from the biliary tract as emergency treatment for acute suppurative cholangitis

Endoscopic removal of Ascaris lumbricoides from the biliary tract as emergency treatment for acute suppurative cholangitis

Zeitschrift für Gastroenterologie 39(9): 793-796

Ascariasis is the most common intestinal helminthiasis worldwide. Heavily infected individuals are prone to develop bowel obstruction or perforation as well as biliary disease. Nevertheless, the presence of roundworms in the biliary tree outside endemic areas is very uncommon. The migration of these worms to the biliary system can cause biliary colic, pancreatitis, or even acute suppurative cholangitis with hepatic abscesses and septicaemia. We report here on 2 infants, 14- and 15-month-old and a 9-year-old boy who suffered from massive biliary ascariasis and who presented with acute suppurative cholangitis [Germany; date not given]. All cases were successfully treated by endoscopic retrograde cholangiopancreatography with worm extraction and adjuvant medical therapy. Physicians should be aware of ascariasis in patients with pancreatobiliary symptoms who have travelled to endemic areas or in immigrants from these areas.

Accession: 003750426

Download citation: RISBibTeXText

PMID: 11558071

DOI: 10.1055/s-2001-17189

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