Korean J Gastroenterol.
2001 Jul;38(1):61-64.
Two Worms of Ascaris lumbricoides in the Bile Duct Combined with Bile duct Stones and Liver Abscess: A Case Report
- Affiliations
-
- 1Department of Internal Medicine, Korea University College of Medicine, Seoul, Korea.
- 2Department of Parasitology, Korea University College of Medicine, Seoul, Korea.
Abstract
- Ascaris lumbricoides, the roundworm, is recognized as one of the most prevalent human intestinal helminths in the world, but the positive rate of its egg is markedly decreased recently in Korea. Biliary ascariasis is a relatively common complication of intestinal ascaris infestation and may cause pancreatic ductal obstruction, choledocholithiasis, cholecystitis, cholangitis, hemobilia, and liver abscess. However, there has been no report on biliary ascariasis combined with both bile duct stone and liver abscess in Korea. We experienced a case of having two worms of Ascaris lumbricoides in the bile duct combined with both bile duct stones and liver abscess. The case was managed with endoscopic removal of the worms and stone and with percutaneous drainage of the liver abscess. We report the case with a review of literatures.
