Abstract
BackgroundAscariasis is one of the common intestinal infections in developing countries, including China. Migration of Ascaris lumbricoides into the gallbladder is rare, unlike ascariasis of the bile duct and when it does occur, treatment is generally by endoscopic or surgical extraction.Case presentationA 4-year-old Uyghur boy with a history of ascariasis developed intermittent upper abdominal pain for 7 days, was being treated by a local practitioner, and when the pain worsened with yellow sclera for 3 days, he was admitted to our hospital. On physical examination, found out the patient with yellowish skin tone, pale yellow fur on tongue, mild yellow staining of the sclera and tenderness in epigastrium. Laboratory data plus liver function test showed damage of liver function. Abdominal Ultrasonography (USG) and Magnetic resonance cholangiopancreatography (MRCP) showed a long, linear, echogenic structure in the gallbladder neck near to the common bile duct. Once the ascariasis diagnosis was established, he was given conservative treatment of magnesium sulfate with herbal medicine. In 4 days, the patient discharged Ascaris through the stool.ConclusionsConservative treatment of magnesium sulfate with Uyghur medicine treatment according to syndrome differentiation is proven to have curative effect.
Highlights
Ascariasis is one of the common intestinal infections in developing countries, including China
Conservative treatment of magnesium sulfate with Uyghur medicine treatment according to syndrome differentiation is proven to have curative effect
Case presentation A 4-year-old Uyghur boy suffered from intermittent pain in upper abdomen for 7 days, treated by a local practitioner with anthelmintic drugs; the pain worsened with yellow sclera for 3 days, he was admitted to our hospital on October 3, 2016
Summary
Helminths or roundworm, is considered as the most common parasitic infection worldwide. Case presentation A 4-year-old Uyghur boy suffered from intermittent pain in upper abdomen for 7 days, treated by a local practitioner with anthelmintic drugs; the pain worsened with yellow sclera for 3 days, he was admitted to our hospital on October 3, 2016. Abdominal USG showed a long, linear, moving echogenic structure in the gallbladder, but no abnormal dilation of the bile duct (Fig. 1a). Abdominal magnetic resonance cholangiopancreatography (MRCP) showed liver volume was normal, no obvious abnormal signals was seen in the liver parenchyma, the intrahepatic bile duct and common bile duct were unclear, the gallbladder volume was enlarged, the wall was rough, with curved (linear) long signals more obvious than USG image(Fig. 1c, d). After 5 days, repeated USG showed disappearance of Ascaris from the gall bladder and common bile duct (Fig. 1b).
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