Biliary ascariasis

Case contributed by Ahmed Abdrabou , 27 Nov 2014
Diagnosis certain
Changed by Ian Bickle, 28 Nov 2014

Updates to Study Attributes

Findings was changed:

Dilated intrahepatic biliary radicals. The CBD is dilated harboring an elongated hyperdense structure with central hypodensity. There is also pancreatic duct dilatation and a note is made of accidentally discovered annular pancreas surrounding the 2nd part of the duodenum.

Images Changes:

Image CT (C+ portal venous phase) ( update )

Plane Projection was set to Axial.
Aux Modality was set to C+ portal venous phase.

Updates to Study Attributes

Findings was changed:

The red arrows refer to the worm which is a longitudinal hyperdense structure with central hypodensity.

The white arrows refer to the pancreatic duct which divides to surround the duodenum in annular pancreas.

Images Changes:

Image Annotated image (axial) ( update )

Plane Projection was set to axial.

Image Annotated image (coronal) ( update )

Plane Projection was set to coronal.

Image Annotated image (axial) ( update )

Plane Projection was set to axial.

Updates to Case Attributes

Body was changed:

Ascariasis is the commonest helminthic infection worldwide.

CBD infestation results in biliary obstruction and recurrent cholangitis.

ERCP was done for this patient and a dead fragmented worm was extracted.

  • -<p>Ascariasis is the commonest helminthic infection worldwide. CBD infestation results in biliary obstruction and recurrent cholangitis. ERCP was done for this patient and a dead fragmented worm was extracted.</p>
  • +<p><a title="Ascariasis" href="/articles/ascariasis">Ascariasis</a> is the commonest helminthic infection worldwide.</p><p>CBD infestation results in biliary obstruction and recurrent cholangitis.</p><p>ERCP was done for this patient and a dead fragmented worm was extracted.</p>

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