scholarly journals Efficacy of Ultrasonography in Detecting Intestinal and Biliary Ascariasis

1970 ◽  
Vol 9 (1) ◽  
pp. 3-6 ◽  
Author(s):  
UK Sharma
Keyword(s):  
Bile Duct ◽  
Common Bile Duct ◽  
High Frequency ◽  
Abdominal Ultrasonography ◽  
Biliary Ascariasis ◽  
Linear Transducer ◽  
Helminthic Infection ◽  
Subacute Intestinal Obstruction ◽  
A Prospective Study ◽  
The Tropics

Introduction: Ascariasis is a common helminthic infection particularly in the tropics and subtropics. Ultrasound can be a useful tool in the detection of adult intestinal and biliary ascariasis. Objective: To evaluate the efficacy of ultrasonography in intestinal and biliary ascariasis. Methods: A prospective study was designed to evaluate the prevalence incidence, clinical features, and ultrasound findings of intestinal and biliary ascariasis from August 2005 to July 2006. Results: A total of 3000 patients underwent abdominal ultrasonography. In 60 (2%) patients, worm infestation was detected. Intestinal ascariasis was detected in 54 patients and biliary ascariasis in six. Four patients had Common bile duct (CBD) ascariasis, one gall bladder (GB) ascariasis with acute cholecystitis and one had ascaris induced liver abscess. Complications like intussusception and subacute intestinal obstruction were found in one each. Intestinal ascariasis was detected with the use of only high frequency linear transducer. Fifty three patients were treated conservatively, three patients underwent surgery. Endoscopic removal of CBD ascaris was done in four patients, where as in one patient there was spontaneous exit of the worm. Conclusions: Ultrasonography is a very useful method for detection of intestinal and biliary ascariasis. The use of high frequency linear transducer can be used for the detection of intestinal ascariasis. Keywords: ascariasis; ultrasound; common bile duct DOI: 10.3126/hren.v9i1.4353Health Renaissance, 2011: Vol.9 No.1:3-6

Mechanical jaundice caused by common bile duct obstruction due to hepato-biliary ascariasis

2021 ◽  
pp. 20-24
Author(s):  
Zaipula Zulbegovich Nazhmudinov ◽  
Abdulkamal Guseynovich Guseynov
Keyword(s):  
Bile Duct ◽  
Common Bile Duct ◽  
Obstructive Jaundice ◽  
Surgical Intervention ◽  
Duct Obstruction ◽  
Biliary Ascariasis ◽  
Modern Methods ◽  
Common Bile Duct Obstruction ◽  
The Common ◽  
The Right

The paper presents a case of successful surgical treatment of a patient with common bile duct ascariasis, which caused obstructive jaundice. Modern methods of examining a patient with obstructive jaundice did not allow to make the right diagnosis of the common bile duct ascariasis before surgical intervention. The rarity of this pathology arouses interest in this material.

scholarly journals Gallstone Ileus following Endoscopic Stone Extraction

2014 ◽  
Vol 2014 ◽  
pp. 1-6 ◽  
Author(s):  
Yoshiya Yamauchi ◽  
Noritaka Wakui ◽  
Yasutsugu Asai ◽  
Nobuhiro Dan ◽  
Yuki Takeda ◽  
...  
Keyword(s):  
Bile Duct ◽  
Common Bile Duct ◽  
Gallstone Ileus ◽  
Balloon Catheter ◽  
Common Bile Duct Stones ◽  
Abdominal Distension ◽  
Abdominal Ultrasonography ◽  
Stent Occlusion ◽  
Plastic Stent ◽  
Rosai Hospital

An 85-year-old woman was an outpatient treated at Tokyo Rosai Hospital for cirrhosis caused by hepatitis B. She had previously been diagnosed as having common bile duct stones, for which she underwent endoscopic retrograde cholangiopancreatography (ERCP). However, as stone removal was unsuccessful, a plastic stent was placed after endoscopic sphincterotomy. In October 2012, the stent was replaced endoscopically because she developed cholangitis due to stent occlusion. Seven days later, we performed ERCP to treat recurring cholangitis. During the procedure, the stone was successfully removed by a balloon catheter when cleaning the common bile duct. The next day, the patient developed abdominal pain, abdominal distension, and nausea and was diagnosed as having gallstone ileus based on abdominal computed tomography (CT) and abdominal ultrasonography findings of an incarcerated stone in the terminal ileum. Although colonoscopy was performed after inserting an ileus tube, no stone was visible. Subsequent CT imaging verified the disappearance of the incarcerated stone from the ileum, suggesting that the stone had been evacuated naturally via the transanal route. Although it is extremely rare for gallstone ileus to develop as a complication of ERCP, physicians should be aware of gallstone ileus and follow patients carefully, especially after removing huge stones.

scholarly journals Duodenal peripapillary adenocarcinoma causing extrahepatic biliary obstruction and icterus in a cat

2020 ◽  
Vol 89 (5) ◽  
pp. 273-277
Author(s):  
T. Rick ◽  
E. Stock ◽  
I. Van de Maele ◽  
E. Kammergruber ◽  
J. Saunders
Keyword(s):  
Bile Duct ◽  
Common Bile Duct ◽  
Biliary Obstruction ◽  
Ultrasound Examination ◽  
Duodenal Wall ◽  
Abdominal Ultrasonography ◽  
Extrahepatic Biliary Obstruction ◽  
History Of ◽  
The Common ◽  
Distal Aspect

A six-year-old, female, neutered domestic shorthair cat was presented with chronic weight loss and a two-day history of partial anorexia and lethargy. Abdominal ultrasonography revealed a regional thickening of the duodenal wall with loss of normal layering, a normally walled segmentally dilated distal aspect of the common bile duct containing slightly hyperechoic bile, and a mild to moderately enlarged major duodenal papilla. Based on the ultrasound examination, the primary differential diagnosis was a peripapillary duodenal neoplastic or less likely, an inflammatory or infectious process with secondary extrahepatic biliary obstruction. Postmortem examination revealed a duodenal, peripapillary adenocarcinoma with metastasis into the liver and lymph nodes, and external compressive obstruction of cystic- and common bile duct.

Diagnostic Accuracy of Ultrasound in Correlation to Alkaline Phosphatase Levels in Patients with Biliary Obstructions

2020 ◽  
pp. 26-32
Author(s):  
OJS Admin
Keyword(s):  
Alkaline Phosphatase ◽  
Bile Duct ◽  
Common Bile Duct ◽  
Diagnostic Accuracy ◽  
Screening Method ◽  
Biliary Tract Disease ◽  
Initial Screening ◽  
Abdominal Ultrasonography ◽  
The Common ◽  
Tract Disease

Abdominal Ultrasonography (USG) is an appropriate initial screening method for detection of biliary tract disease the consultants sometimes encounter patients who only have findings of dilatation of the Common Bile Duct (CBD) on US without specic biliary symptoms or jaundice.

scholarly journals Gallbladder Ascariasis : A Rare Case Report

Med Phoenix ◽  
2018 ◽  
Vol 3 (1) ◽  
pp. 95-97 ◽  
Author(s):  
Akhilesh Kumar Jha ◽  
Rajesh Acharya ◽  
Kamal Subedi ◽  
Anuj Shrestha ◽  
Krishna Rauniyar ◽  
...  
Keyword(s):  
Case Report ◽  
Bile Duct ◽  
Common Bile Duct ◽  
Ascaris Lumbricoides ◽  
Rare Case ◽  
Ampulla Of Vater ◽  
Human Beings ◽  
Helminthic Infection ◽  
Rare Case Report

 Ascariasis is the most prevalent helminthic infection to infest human beings caused by Ascaris lumbricoides. Rarely the worm migrates through ampulla of Vater and may enter common bile duct. This is a case report of live Ascaris lumbricodes in gallbladder, on USG. Med Phoenix. Vol. 3, Issue. 1, 2018, Page: 95-97                                                         

Laparoscopic Treatment of Gallbladder and Common Bile Duct Stones: A Prospective Study

1996 ◽  
Vol 20 (5) ◽  
pp. 535-542 ◽  
Author(s):  
Emanuele Lezoche ◽  
Alessandro M. Paganini ◽  
Francesco Carlei ◽  
Francesco Feliciotti ◽  
Davide Lomanto ◽  
...  
Keyword(s):  
Bile Duct ◽  
Common Bile Duct ◽  
Prospective Study ◽  
Common Bile Duct Stones ◽  
Bile Duct Stones ◽  
Laparoscopic Treatment ◽  
A Prospective Study

scholarly journals The role of choledochoscopy in transductal laparoscopic common bile duct exploration

2021 ◽  
Author(s):  
K. Atstupens ◽  
H. Plaudis ◽  
E. Saukane ◽  
A. Rudzats
Keyword(s):  
Bile Duct ◽  
Common Bile Duct ◽  
Common Bile Duct Exploration ◽  
Complication Rates ◽  
Time Saving ◽  
Patient Demographics ◽  
Operative Outcomes ◽  
Additional Equipment ◽  
Transcystic Approach ◽  
A Prospective Study

Laparoscopic common bile duct exploration (LCBDE) performed by choledochoscope through the cystic duct or directly through the incision in the common bile duct (CBD) are well established methods for restoring biliary drainage function in patients with choledocholithiasis. Although it plays a crucial role in the transcystic approach, transductal approach can be achieved differently. However, it has restrictions in availability due to its expensiveness. Objective — to report efficacy of transductal LCBDE without laparoscopic choledochoscopy. Materials and methods. This is a prospective study of urgently admitted patients who underwent trans‑ductal LCBDE due to confirmed choledocholithiasis. During laparoscopy, clearance of the CBD was achieved in two ways: by choledochoscopy (group CS+, n = 43) and without it (group CS–, n = 34). The data of patient demographics, comorbidities, operative outcomes, morbidity, mortality and long‑term biliary complications were analysed and compared between the groups. Results. Out of a total of 154 patients with confirmed choledocholithiasis, the trans‑ductal approach of LCBDE was applied to 77 patients. In 43 patients, clearance was done with choledochoscope (group CS+) and in 34 patients without it (group CS–). Gallstone related complications and comorbidities did not differ between the groups. Surgery was done 4 days after admission in both groups. Median duration of the operation was significantly shorter in the group CS–, 93 vs 120 minutes (p = 0.036), without any difference in conversion and complication rates. Clearance rate was markedly high in both groups. Conclusions. Transductal laparoscopic common bile duct exploration without choledochoscopy is a time‑saving, safe and effective way for CBD clearance, without additional equipment.  

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