Biliary Ascariasis: An Unusual Cause of Biliary Colic

Ousmane Thiam; Mohamadou Lamine Gueye; Alpha Oumar Toure; Mamadou Seck; Lera Geraud Akpo; Hamidou Deme; Mamadou Cisse; Ousmane Ka; Madieng Dieng; Abdarahmane Dia; Cheikh Tidiane Toure

doi:10.4236/oalib.1102003

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Open Access Library Journal > Vol.2 No.10, October 2015

Biliary Ascariasis: An Unusual Cause of Biliary Colic ()

Ousmane Thiam^1*, Mohamadou Lamine Gueye¹, Alpha Oumar Toure¹, Mamadou Seck¹, Lera Geraud Akpo², Hamidou Deme², Mamadou Cisse¹, Ousmane Ka¹, Madieng Dieng¹, Abdarahmane Dia¹, Cheikh Tidiane Toure¹

¹General Surgery Department, Aristide Le Dantec Hospital of Dakar, Dakar, Senegal.
²Radiology Department, Aristide Le Dantec Hospital of Dakar, Dakar, Senegal.

DOI: 10.4236/oalib.1102003 PDF HTML XML 1,025 Downloads 1,459 Views

Abstract

Introduction: Ascariasis by Ascaris lumbricoides is a cosmopolitan disease. Biliary ascariasis is unusual in our country. We report a case of biliary ascariasis revealed by biliary colic. Observation: A 22-year-old woman with no particular history was received for biliary colic associated to vomiting without fever or bowel disorders. On examination, there were pain and defense at the right upper quadrant and a Murphy sign. Moreover, the clinical examination was normal. Blood cells count, renal function, liver function, coagulation and blood ionogram were normal. The abdo-minopelvic ultrasonography showed a probable parasitosis of the bile duct with gallbladder sludge and dilatation of the common bile duct. The abdominopelvic CT scan revealed intrahepatic and common bile duct (CBD) dilatation and organic image in the common bile duct. Right sub-costal laparotomy was allowed to extract an ascaris blocking the common bile duct. A cholecys-tectomy and drainage of the bile duct with a Kehr drain were performed. The postoperative course was marked by wound surgical suppurative resolved by treatment. She was discharged on the 9^th post-operative day. T-tube was removed on the 21^st post-operative day after normal cho-langiography. Conclusion: Biliary ascariasis is rare in our regions. The diagnosis must be kept in mind in case of biliary colic and ultrasound confirm the diagnosis. Surgical treatment gives good results in our regions.

Keywords

Ascariasis, Biliary Ascarisis, Cholecystitis, Pancreatitis, Cholangitis

Share and Cite:

Thiam, O. , Gueye, M. , Toure, A. , Seck, M. , Akpo, L. , Deme, H. , Cisse, M. , Ka, O. , Dieng, M. , Dia, A. and Toure, C. (2015) Biliary Ascariasis: An Unusual Cause of Biliary Colic. Open Access Library Journal, 2, 1-5. doi: 10.4236/oalib.1102003.

Conflicts of Interest

The authors declare no conflicts of interest.

References

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