An unusual finding of obstructive jaundice—a case report and review of the literature | Zendy

Darren Fernandes | Zendy; Pushpakaran Munuswamy | Zendy; Sami Khan | Zendy

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An unusual finding of obstructive jaundice—a case report and review of the literature

Author(s) -

Darren Fernandes,

Pushpakaran Munuswamy,

Sami Khan

Publication year - 2018

Publication title -

oxford medical case reports

Language(s) - English

Resource type - Journals

SCImago Journal Rank - 0.169

H-Index - 9

ISSN - 2053-8855

DOI - 10.1093/omcr/omy088

Subject(s) - ascaris lumbricoides , medicine , gallbladder , ascariasis , jaundice , mebendazole , abdomen , abdominal pain , cholecystography , magnetic resonance imaging , radiology , surgery , gastroenterology , helminths , ecology , immunology , biology

Biliary ascariasis is a tropical infectious disease, endemic in regions such as the Far East, Indian subcontinent and parts of the Middle East. The responsible organism is the worm. This case study presents a 54-year-old British Caucasian female patient, admitted with a 1-week history of generalized abdominal pain. Ultrasound scan of the abdomen showed a collapsed and abnormal image of the gallbladder. Further imaging for better visualization by magnetic resonance cholangiography showed a 6 cm linear structure in the gallbladder. The morphology was characteristic of gallbladder ascariasis. Detailed history revealed that 6 months ago she had travelled to Turkey. Stool cultures confirmed the presence of ascaris eggs. She was treated conservatively with a 500 mg stat dose of Mebendazole. She was followed up in 6 weeks showing complete resolution of her symptoms.

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