Common Bile Duct Obstruction due to Ascariasis

Common bile duct: a retreat for ascariasis!

ation to the back. One week prior to the presentation she vomited 3 round worms, with a similar history in childhood. There was no history of fever, jaundice, intestinal colic or bowel distension. Physical examination was unremarkable, except for tenderness in the epigastrium. Hemogram and liver function tests were normal. Serum amylase was 1,100 U/L. A plain radiograph of the abdomen was norma...

Endoscopic ultrasound for ascariasis in common bile duct.

Common Bile Duct Obstruction Secondary to a Periampullary Diverticulum

Periampullary duodenal diverticula are not uncommon and are usually asymptomatic although complications may occasionally occur. Here, we report the case of a 72-year-old woman who presented with painless obstructive jaundice. Laboratory tests showed abnormally elevated serum concentrations of total and direct bilirubin, of alkaline phosphatase, of γ-glutamyl transpeptidase, and of aspartate and...

Fracture of an expandable metallic stent placed for biliary obstruction due to common bile duct carcinoma.

We report our second case of fracture of a SMART self-expandable metallic stent (Cordis Endovascular, Warren, NJ) placed to treat biliary obstruction due to an unresectable common bile duct carcinoma. An 82-year-old man presented with jaundice. Computed tomography and ultrasonography on admission demonstrated a mass in the lower common bile duct. The mass was identified as a common bile duct ob...

Intestinal obstruction due to an ascariasis ball

OBJECTIVE Obstruction in the gastrointestinal tract due to ascariasis is a rare clinical manifestation. Intestinal obstruction is extremely rare since the lumen of the intestine is wide. The condition called ascariasis ball is interesting and rarely reported in medical literature. This article reviews reports of this problem in Thailand, a tropical country. METHOD A literature review was made o...