Metehan ÖZEN, Serdal GÜNGÖR, Cemşit KARAKURT, Ramazan KUTLU

Hepatit A Enfeksiyonu Sırasında Tespit Edilen Safra Kesesi Askariyazis Olgusu

İntestinal askariyazis, Ascaris lumbricoides helminti ile temas sonucu gelişen ve halen gelişmekte olan ülkelerde en sık rastlanılan parazit hastalığıdır. On bes yaşındaki erkek hasta sarılık, karın ağrısı ve mide bulantısı şikayeti ile başvurdu. Laboratuvar incelemesinde antiHAV-IgM ve IgG pozitif olarak saptanan hastada bir aydır devam eden sarılık olması ve karın ağrısı şikayetinin artması üzerine batın ultrasonografi incelemesi yapıldı. Safra kesesi içerisinde 7-8 cm uzunluğundaki tübüler yapının Ascaris lumbricoides ile uyumlu olduğu bildirildi. Hastaya tek doz albendazol ve antispazmotik tedavi verildi ve sorunsuz olarak iyileşti. Anahtar kelimeler: Ascaris lumbricoides, Safra kesesi

Anahtar Kelimeler:

Ascaris lumbricoides, Safra kesesi

Biliary Ascariasis Coinciding Hepatitis a Infection

Intestinal ascariasis is one of the most common parasitic infestation in developing countries. Fifteen years-old male was admitted with the complaints of jaundice, abdominal pain and nausea. Laboratory investigations revealed positivity of anti-HAV-IgM and IgG. We performed abdominal ultrasonography because of long-lasting jaundice and increasing abdominal crampy pain. Examination revealed 7-8 cm long tubular image which is consistent with Ascaris lumbricoides. Single dose albendazole and antispasmatic treatment caused expulsion of parasite without complication. Key words: Ascaris lumbricoides, Gallbladder

Keywords:

Ascaris lumbricoides, Gallbladder,

PDF

___

K-K. Ng, H.F. Wong, M.-S. Kong, L. C. Chiu, C.-F. Tan, Y.-L. Wan. Biliary ascariasis: CT, MR cholangiopancreatography, and nagivator endoscopic report of a case of acute biliary obstruction. Abdom Imaging 1999; 24: 470-72.
Bahu Mda G, Baldisseroto M, Custodio CM, Gralha CZ, Mangili AR. Hepatobiliary and pancreatic complications of ascariasis in children: a study of seven cases. J Pediatr Gastroenterol Nutr 2001;33(3):271-275.
Cha DY, Song IK, Choı HW, et al. Successful elimination of Ascaris lumbricoides from the gallbladder by conservative medical therapy. J Gastroenterol 2002; 37: 758- 60.
Ong GB. Helminthic diseases of the liver and biliary tract. In: Wryght R, Millward S, Alberti KGM, et al, eds. Liver and biliary disease, 2nd ed. London: Saunders, 1985; 1523–9.
Cerri GG, Leite GJ, Simoes JB, et al. Ultrasonographic evaluation of ascaris in the biliary tract. Radiology 1983; 146: 753–4.
Siegl G. Hepatitis A virus infection. A review. Schweiz Rundsch Med Prax. 2003; 92(40): 1659-73.
Sami Akbuğa, Gülnar Uysal, Özlem Kösebalaban, N. Cintosun, Tülin Revide Şaylı. Biliyer askariyazis. Türkiye Klinikleri 2004; 2(13): 95-9.
Miller G, Schecter WP, Harris HW. Gallbladder ascariasis in a patient with severe pancreatitis. Surgery 2003; 133(4): 445-6.
Khuroo MS, Zargar SA. Biliary ascariasis: a common cause of biliary and pancreatic disease in endemic area. Gastroenterology 1987; 88: 418-23.
Rode H, Cullis S, Millar A, et al. Abdominal complications of ascaris lumbricoides in children. Pediatr Surg Int. 1990; 5: 397–401.
Gomez NA, Leon CJ, Ortiz O. Ultrasound in the diagnosis of roundworms in gallbladder and common bile duct. Report of four cases. Surg Endosc 1993; 7: 339- 42.
Sandouk F, Haffar S, Zada MM, Graham DY, Anand BS. Pancreatic-biliary ascariasis: experience of 300 cases. Am J Gastroenter 1997; 92: 2264-7.
Ak M, Keles E, Karacasu F, et al. The distribution of the intestinal parasitic diseases in the Southeast Anatolian (GAP=SEAP) region of Turkey. Parasitol Res 2006 Mar 7; [Epub ahead of print].