Downloads: 0 | Views: 347
Case Studies | Radiology and Medical Imaging Sciences | India | Volume 10 Issue 9, September 2021 | Popularity: 4.1 / 10
Next Time Think of a Worm!
Snigdha Pendyala, Devanaboyina Sowmya
Abstract: An 81 - year - old male patient presented with complaints of severe abdominal pain and yellowish discolouration of sclera since two days. The pain was insidious on onset, gradually progressive which did not relieve even on medication. The patient also had loss of weight and appetite since past six months. Lab investigations showed increased bilirubin (11.6 mg/dl), prothrombin time (17.5 sec) and total leukocyte count (14, 500 cells/cumm). The patient was advised USG initially to evaluate the cause of the pain which showed central IHBRD with a hyperechoic lesion in the mid CBD causing gross dilatation. Later CT was done which showed obstructive biliary pathology in the distal CBD causing IHBRD. To evaluate further we did MRCP which showed acute cholecystitis with large choledocholithiasis causing obstructive biliopathy. On ERCP there is a ball of dead worms with few live worms in the CBD. Balloon sphincteroplasty with biliary stenting is done.
Keywords: Ascariasis, calcified, obstructive biliopathy, cholangitis, Roundworm infestation
Edition: Volume 10 Issue 9, September 2021
Pages: 1171 - 1174
DOI: https://www.doi.org/10.21275/SR21921131831
Make Sure to Disable the Pop-Up Blocker of Web Browser
Similar Articles
Downloads: 1 | Weekly Hits: ⮙1 | Monthly Hits: ⮙1
Case Studies, Radiology and Medical Imaging Sciences, India, Volume 13 Issue 7, July 2024
Pages: 623 - 624Rare Case of Mucinous Adenocarcinoma of Stomach with Calcified Metastasis in Liver
Dr Dasari Sai Tejaswini, Dr Rudresh Hiremath, Dr. Rama Krishna Rao Baru, Dr. Chitta Krishna Sai
Downloads: 4 | Weekly Hits: ⮙1 | Monthly Hits: ⮙4
Case Studies, Radiology and Medical Imaging Sciences, India, Volume 13 Issue 4, April 2024
Pages: 1055 - 1057Radiological Findings in a Case of Stentolith-Leaving no Stones Unturned
Dr. Shrishail Adke, Dr. Ajith Varrior
Downloads: 7 | Weekly Hits: ⮙1 | Monthly Hits: ⮙1
Case Studies, Radiology and Medical Imaging Sciences, India, Volume 10 Issue 11, November 2021
Pages: 19 - 22Tuberous Sclerosis - A Rare Case Presentation
Dr. Ginni Kalra, Dr. Akilesh Patel, Dr. Himanshu Sonimd