Your browser doesn't support javascript.
loading
Montrer: 20 | 50 | 100
Résultats 1 - 1 de 1
Filtre
Ajouter des filtres








Gamme d'année
1.
Saudi Journal of Gastroenterology [The]. 2010; 16 (3): 203-206
Dans Anglais | IMEMR | ID: emr-123578

Résumé

Ascariasis is a common parasitic infestation in Asia and Latin America. The most serious presentation is biliary and pancreatic ascariasis [BPA]. The aim of the present study was to compare the clinical presentation of BPA with dead worms with that with living worms. We included 138 consecutive cases of BPA that occurred during the period January 2005 to July 2009. All the patients had endoscopically proven BPA consisting of living or dead worms. Comparison was done by chi-square and independent t tests. The age [mean +/- SD] of the patients was 36.8 +/- 16.1 years. Prevalence ratio between male and female patients was 1:5. Ninety eight patients contained living worms and 40 had dead worms. Males were more prone to develop dead worm BPA. The commonest presentation was biliary colic [131; 94.9%]; others were acute cholangitis [30; 21.7%], obstructive jaundice [19; 13.8%], choledocholithiasis [20; 14.5%], acute pancreatitis [10; 7.2%], acute cholecystitis [6; 4.3%], liver abscess [2; 1.4%], hepatolithiasis [3; 2.2%], stricture of common bile duct [2; 1.4%], pancreatic abscess [1; 0.7%] and cirrhosis of liver [1; 0.7%]. Choledocholithiasis, hepatolithiasis, liver abscess and cirrhosis were associated only with dead worms. We could successfully remove all the worms with endoscopic interventions, but 5 patients required surgical intervention as there were strictures and stones within the biliary tree or Ascaris were in gallbladder. Recurrences of stone and cholangitis occurred only in those with dead worms. Biliary ascariasis with dead worms is more dangerous than that with living worms. Endoscopic or surgical intervention may be required repeatedly in those with dead worms


Sujets)
Humains , Mâle , Femelle , Voies biliaires/parasitologie , Ascaris , Lithiase cholédocienne , Cholangiopancréatographie rétrograde endoscopique , Angiocholite , Ictère rétentionnel , Colique , Cirrhose du foie
SÉLECTION CITATIONS
Détails de la recherche