1/4. An unusual cause of recurrent biliary colics.Hepato-biliary ascariasis is a rare condition in non-endemic areas; however, it should always be taken into account in patients with recurrent biliary colics and/or cholangitis, since these are among the most frequent modes of clinical presentation. We report a case of a young woman suffering from recurrent biliary colics in whom a diagnosis of biliary ascariasis was made. Endoscopic retrograde cholangiopancreatography with sphincterotomy and endoscopic extraction of the worm, using a Dormia basket, proved to be a safe and effective procedure for removing the living Ascaris from the biliary tree and relieving symptoms. In the era of worldwide travels, physicians in Western countries should be more aware of this infection especially in patients with biliary symptoms who have travelled to endemic areas or immigrant from endemic countries.- - - - - - - - - - ranking = 1keywords = tree (Clic here for more details about this article) |
2/4. Clonorchis-associated cholangiocarcinoma: a report of two cases with unusual manifestations.Two cases of Clonorchis-associated cholangiocarcinoma are described along with their cholangiographic features to illustrate the spectrum of pathology ascribed to the injurious effects of the flukes on the bile duct epithelium. This includes adenomatous hyperplasia, extensive fibrosis, and carcinoma. The first case was also complicated by hepatic abscesses, left hepatic lobar atrophy, gastrobiliary and biliarocutaneous fistulae. The second case features an unusually dilated pancreatic duct containing pancreaticoliths that was found later to consist of hyperplastic bile duct epithelium, presumably carried by worm migration in the biliary tree. liver sections from both patients showed typical features of hepatic clonorchiasis with the cancer. A knowledge of the wide spectrum of clinical presentation of clonorchiasis, particularly cholangiocarcinoma, might aid Western physicians in averting this serious sequela through prompt eradication of the helminthic infection and early recognition and treatment of its complications.- - - - - - - - - - ranking = 1keywords = tree (Clic here for more details about this article) |
3/4. Massive hepatobiliary ascariasis in childhood.Migration of one or two worms into the biliary tree is a well-known complication of ascaris lumbricoides infestation of the intestine. Massive infestation of the bile ducts and liver is uncommon, often difficult to diagnose and leads to complications if not promptly and effectively treated.- - - - - - - - - - ranking = 1keywords = tree (Clic here for more details about this article) |
4/4. Endoscopic removal of ascaris from biliary tree.Hepatobiliary ascariasis is an uncommon condition outside the Kashmir valley. We report here a patient with this disease from the eastern part of india.- - - - - - - - - - ranking = 4keywords = tree (Clic here for more details about this article) |