ASCARIS into COMMON BILE DUCT, Dr PHAN THANH HẢI, MEDIC MEDICAL CENTER, HCMC, VIETNAM

A 38YO WOMAN WENT THROUGH AN  ACUTE EPIGASTRIC PAIN AND VOMITTING FOR 4 DAYS.
ABDOMINAL ULTRASOUND  DETECTED A BIG GALL-BLADDER WITHOUT STONE, AND COMMON BILE DUCT DILATED  OF 1,5CM, WITH TUBULAR ECHOGENIC STRUCTURE INSIDE, NO SHADOWING THAT  APPEARES AS A RAILROAD SIGN OR INNER-TUBE SIGN IN LONGITUDINAL SECTION AND TARGET SIGN IN CROSS SECTION.

 

ULTRASOUND  EASILY DIAGNOSESAN ASCARIS  THAT  IS MOVING UP TO CBD, BUT IT IS MALE OR FEMALE ASCARIS, CAN YOU EXPLAIN ?.
 


 ERCP XRAY: ASCARIS INTO CBD. LATER ASCARIS IS EXTRACTED OUT OF THE PATIENT BY VIA ERCP. IT STILL MOVES WEAKLY AFTER  4 DAYS  STUCK  WITH THE COMMON BILE DUCT. IT IS A FEMALE WORM WITH THE VULVAR WAIST. SHE LOST HER WAY WITH UNCERTAIN CAUSE THAT MAY BE EXPLAINED BY THE FACT OF ” ingenuity for probing and forcing herself into any aperature that she may encounter” (

John P Nicholson, Karl Kreiger, Barry Hartman, Wayne Isoin, and John H. Laragh: Cardiac Arrest Postoperatively in a Patient Infected with Ascaris, the Roundworm, Chest 1989;96;922-923). 


 

THE PATIENT GETS  WELL  AFTER EXTRACTING THE ASCARIS  FROM HER BILE DUCT,  AND FORTUNATELY NO NEED TO PASS THROUGH AN OPERATION .
Advertisements
This entry was posted in ultrasound research. Bookmark the permalink.

Leave a Reply

Fill in your details below or click an icon to log in:

WordPress.com Logo

You are commenting using your WordPress.com account. Log Out / Change )

Twitter picture

You are commenting using your Twitter account. Log Out / Change )

Facebook photo

You are commenting using your Facebook account. Log Out / Change )

Google+ photo

You are commenting using your Google+ account. Log Out / Change )

Connecting to %s