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A Case of Biliary Ascariasis in Korea.

Authors
  • Choi, Jun-Ho1
  • Seo, Min2
  • 1 Division of Gastroenterology, Department of Internal Medicine, Dankook University College of Medicine, Dankook University Hospital, Cheonan 31116, Korea. , (North Korea)
  • 2 Department of Parasitology and Research Center for Mummy, College of Medicine, Dankook University, Cheonan 31116, Korea. , (North Korea)
Type
Published Article
Journal
The Korean journal of parasitology
Publication Date
Dec 01, 2017
Volume
55
Issue
6
Pages
659–660
Identifiers
DOI: 10.3347/kjp.2017.55.6.659
PMID: 29320821
Source
Medline
Keywords
Language
English
License
Unknown

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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