Acute pancreatitis due to Ascaris lumbricoides: presentation of a clinical case
DOI:
https://doi.org/10.37135/ee.004.04.07Keywords:
pancreatitis, ascariasis, biliary tractAbstract
Clinical case: male patient of 30 years of age, with abdominal pain of 24 hours of evolution. Physical examination showed distended abdomen, painful epigastrium and right hypochondrium. Paraclinics indicated leukocytosis (12,400 / cc), elevation of amylase 3.2 N, lipase 6.8 N, CRP of 192 mg / dl and procalcitonin of 0.136 ng / ml. Ultrasound of the abdomen showed absence of dilation signs of the biliary tract intra and extra hepatic ascariasis. The simple and contrasted abdomen tomography reported a Baltazar C. The persistent epigastric pain motivated the performance of an upper digestive endoscopy; it was observed a specimen of ascaris nestled in the duodenal papilla which was removed with a handle clamp for a foreign body. Conclusions: intestinal parasitosis is an important cause of obstruction of the bile duct and acute inflammatory abdomen, which requires timely attention in the patient.
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