Ascaris lumbricóides in infants - Case report
DOI:
https://doi.org/10.18227/hd.v2i2.7509Keywords:
Gallbladder, child, Ascaris lumbricoidesAbstract
Biliary ascariasis is a rare occurrence in which the helminth Ascaris lumbricoides travels through the bile ducts, entering the gallbladder. The present study aims to report a clinical case of a child patient of only 11 months, admitted to the emergency room in Boa Vista, Roraima; with history of jaundice, fever and abdominal distension for 03 days. She evolved with hemodynamic instability, requiring treatment in ICU. Ultrasonographic diagnosis of intravesicular ascariasis was performed. The clinical treatment with anthelmintics was made and the patient evolved with improvement, with resolution of the verminosis without the need for the endoscopic or surgical procedure. We observeda case of cholecystitis due to complicated ascariasis in infants.This complication is uncommon in our environment, especially in young children due to the reduced diameter of the cystic duct, and the potential difficulty of the helminth to invade the gallbladder.
Downloads
References
VALENTIM, Leonardo Fernandes et al . Utilização da jejunostomia para extração endoscópica de Ascaris lumbricóides da via biliar principal em paciente com doença de Caroli. Rev. Col. Bras. Cir., Rio de Janeiro , v. 36, n. 5, Oct. 2009 .
ROCHA, Amauri Clemente da; SILVA JUNIOR, Severino Lourenço da; AMORIM, Rodrigo Fernando Lourenço de. Colecistite aguda por Ascaris lumbricóides. Rev. Col. Bras. Cir., Rio de Janeiro , v. 33, n. 4, Aug. 2006.
Ascaris em vias biliares: diagnóstico ultra-sonográfico / Ascaris in thebiliarytract: ultra-sonographicdiagnosis. Rev HCPA& Fac. Med. Univ. Federal RS; 7(1):47-50, abr. 1997.
Javid G, Wani NA, Gulzar GM, Khan BA, Shah AH, Shah OJ et al. Ascaris-induced liver abscess. World J Surg. 1999; 23(11):1191-4.
Beckingham IJ, Cullis SN, Krige JEJ, Bornman PC, Terblanche J. Management of hepatobiliary and pancreatic Ascaris infestation in adults after failed medical treatment. Br J Surg. 1998; 85(7):907-10.
Echeverría Gabriel, LinarezBeatríz, Marruffo Mario, Mendoza Sonia, Arévalo Glo-rianny, Díaz Elimar et al .Ascaridiasis Biliar: A propósito de un caso. Gen. Mar2018; 72( 1 ): 28-32. Disponivel em: http://www.scielo.org.ve/scielo.php?script=sci_arttext&pid=S0016-35032018000100007&lng=es.
Gómez NA, Ortiz O, León CJ, Iñiguez S. Ascariasis de la vesícula biliar; reporte de dos casos y revisón de la literatura. Acta GastroenterolLatinoam. 1992;22(2):129- 31.
Filice C, Marchi L, Meloni C, Patruno SF, Capellini R, Bruno R. Ultrasound in the diagnosis ofgallbladder ascariasis. AbdomImaging. 1995;20(4):320–2.
Villarroel, Gustavo Huerta; Gutiérrez, Fandiño; Oscar; Gutiérrez,Carol Ortiz; Gonzá-lez, E.U. Paulo Vilches; et al. hepatitis aguda grave e ictericia obstructiva asociada a áscaris lumbricoide en vía biliar. Revista chilena de medicina intensiva. 2012; VOL 27(2): 89-109.
Yoshihara S, Toyoki Y, Takahashi O, Sasaki M. Laparoscopictreatmentforbiliary ascariasis. SurgLaparoscEndosc PercutanTech. 2000;10(2):103-5.
Chiappe Alfredo, Arteaga Kovy, Resurrección Cristhian, Ñavincopa Marcos, Ticona Eduardo. Obstrucción intestinal por Ascarislumbricoides en un adulto mayor. Rev. chil. infectol. Oct, 2016 ; 33( 5 ): 572-575. Disponivel em: https://scielo.conicyt.cl/scielo.php?script=sci_arttext&pid=S0716-10182016000500014&lng=es.
Marmo Gastón, Vaccaro Carla, Kohn Guillermo. Ascarislumbricoides: una causa de pancreatitis aguda. Arch. Pediatr. Urug. Mar2016; 87( 1 ): 33-37. Disponivel em: http://www.scielo.edu.uy/scielo.php?script=sci_arttext&pid=S1688-12492016000100006&lng=es.
Downloads
Published
How to Cite
Issue
Section
License
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
Este obra está licenciado com uma Licença Creative Commons Atribuição 4.0 Internacional.