Gallbladder ascariasis in Kabul-focus on ultrasound and conservative therapy: a case report.

IF 0.5 Q3 MEDICINE, GENERAL & INTERNAL

Oxford Medical Case Reports Pub Date : 2025-05-28 eCollection Date: 2025-05-01 DOI:10.1093/omcr/omaf040

Mohammad Sharif Sediqi, Mansoor Aslamzai, Abdulhakim Mukhlis, Khesrow Ekram

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Abstract

The most frequent human intestinal nematode is Ascaris lumbricoides. Ascariasis is one of the most prevalent intestinal illnesses in underdeveloped nations, including Afghanistan. It affects over 25% of the world's population and causes about 20 000 fatalities annually due to its unfavorable clinical course. In endemic locations, 50%-60% of pediatric admissions to surgical emergency rooms are caused by A. lumbricoides. Due to the cystic duct's narrowness and tortuousness, migration of the worm to the gallbladder is less common than migration to the bile duct. When it does, acalculous cholecystitis is triggered. We report the case of a three year old girl presenting with abdominal pain, fever and vomiting. Laboratory tests revealed eosinophilia and elevated liver enzymes. Ultrasound examination identified a live Ascaris worm in the gallbladder. The patient was treated successfully with anti-helminthic therapy, resulting in symptom resolution.

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喀布尔胆囊蛔虫病——以超声和保守治疗为主：1例报告。

最常见的人类肠道线虫是类蛔虫。蛔虫病是包括阿富汗在内的不发达国家最普遍的肠道疾病之一。该病影响到世界25%以上的人口，由于其不利的临床病程，每年造成约2万人死亡。在流行地区，外科急诊室收治的儿童中有50%-60%是由类蚓蛔虫引起的。由于胆囊管的狭窄和曲折，蠕虫迁移到胆囊比迁移到胆管更少见。如果出现这种情况，就会引发结石性胆囊炎。我们报告的情况下，一个三岁的女孩表现为腹痛，发烧和呕吐。实验室检查显示嗜酸性粒细胞增多和肝酶升高。超声检查发现胆囊内有一条活蛔虫。患者经抗蠕虫治疗成功，症状得到缓解。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Oxford Medical Case Reports MEDICINE, GENERAL & INTERNAL-

CiteScore

0.90

自引率

0.00%

发文量

125

审稿时长

19 weeks

期刊介绍： Oxford Medical Case Reports (OMCR) is an open access, peer-reviewed online journal publishing original and educationally valuable case reports that expand the field of medicine. The journal covers all medical specialities including cardiology, rheumatology, nephrology, oncology, neurology, and reproduction, comprising a comprehensive resource for physicians in all fields and at all stages of training. Oxford Medical Case Reports deposits all articles in PubMed Central (PMC). Physicians and researchers can find your work through PubMed , helping you reach the widest possible audience. The journal is also indexed in the Web of Science Core Collection . Oxford Medical Case Reports publishes case reports under the following categories: Allergy Audiovestibular medicine Cardiology and cardiovascular systems Critical care medicine Dermatology Emergency medicine Endocrinology and metabolism Gastroenterology and hepatology Geriatrics and gerontology Haematology Immunology Infectious diseases and tropical medicine Medical disorders in pregnancy Medical ophthalmology Nephrology Neurology Oncology Paediatrics Pain Palliative medicine Pharmacology and pharmacy Psychiatry Radiology, nuclear medicine, and medical imaging Respiratory disorders Rheumatology Sexual and reproductive health Sports Medicine Substance abuse.