Cholesysto Ascariasis– Experience from a Tertiary Care Hospital in Eastern India

Dr. Md Mazharul Haque; Dr. Sandeep Kumar Jaiswal

Volume : IV, Issue : X, October - 2015

Cholesysto Ascariasis– Experience from a Tertiary Care Hospital in Eastern India

Dr. Md Mazharul Haque, Dr. Sandeep Kumar Jaiswal

Abstract :

Cholecysto Ascariasis ie. presence of Ascaris lumicoides in the gall bladder – a form of Hepatobiliary ascariasis is commonly reported from highly endemic regions like south asia, south America, parts of Middle East and Africa1. In humans, the usual habitat of Ascaris lumicoides is the proximal small intestine2. When the worm load is high, then the worms tend to migrate from the usual site and invade the biliary system like CBD, Hepatic ducts, Cystic duct, Gall Bladder, IHBRs etc3. Material & Methods: Patients attending the department of general surgery, Katihar Medical College hospital with the diagnosis of Cholesysto Ascariasis were included in the study. Results: Some cases of Cholesysto Ascariasis can be managed conservatively. The worm some time retreats to the intestine but many cases require surgical intervention. Conclusion: Cholecysto ascariasis may present with biliary colic or with various complications like acute cholecystitis, cholangitis, gangrenous gall bladder, perforation of gall bladder etc. Sonography has been shown to have a high diagnostic accuracy in the diagnosis of Cholesysto Ascariasis. Some of the cases can usually be managed conservatively but many cases require surgical intervention.