Medizinische Universität Graz Austria/Österreich - Forschungsportal - Medical University of Graz
Gewählte Publikation:
SHR Neuro Krebs Kardio Lipid Stoffw Microb
Klimovskij, M; Dulskas, A; Kraulyte, Z; Mikalauskas, S.
Ascariasis of the pancreatic duct.
BMJ Case Rep. 2015; 2015:
Doi: 10.1136/bcr-2014-207936
(- Case Report)
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PubMed
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- Führende Autor*innen der Med Uni Graz
- Mikalauskas Saulius
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- Abstract:
- Ascariasis is a common helminthic disease worldwide, although Lithuania and other European countries are not considered endemic areas. The presence of the Ascaris worm in the biliary tree causes choledocholithiasis-like symptoms. We report a case of pancreatic duct ascariasis causing such symptoms. A 73-year-old Lithuanian woman underwent endoscopic retrograde cholangiopancreatography (ERCP) suspecting choledocholithiasis. Contrast injection into the common bile duct demonstrated a slightly dilated biliary tree without any filling defects, and the tail of an Ascaris worm protruding from the opening of the papilla Vater. The worm was captured by a snare but escaped deep into the duct. After a small wirsungotomy the worm was retrieved from the pancreatic duct. The patient received a 150 mg dose of levamisole orally repeated 7 days later and was discharged after complete resolution of symptoms. This first reported sporadic case of pancreatic duct ascariasis in Lithuania was successfully treated with ERCP and Levamisole.
- Find related publications in this database (using NLM MeSH Indexing)
- Abdominal Pain - etiology, parasitology
- Aged - administration & dosage
- Animals - administration & dosage
- Antinematodal Agents - therapeutic use
- Ascariasis - complications, diagnosis, drug therapy
- Ascaris lumbricoides - isolation & purification
- Cholangiopancreatography, Endoscopic Retrograde - administration & dosage
- Choledocholithiasis - diagnosis
- Diagnosis, Differential - administration & dosage
- Female - administration & dosage
- Humans - administration & dosage
- Jaundice, Obstructive - etiology, parasitology
- Levamisole - therapeutic use
- Pancreatic Ducts - parasitology
- Treatment Outcome - administration & dosage