Abstract
Ascariasis is the commonest helminthic disease to infect humans. Due to their wandering nature, the roundworms from the second part of the duodenum migrate through the biliary opening into the hepatobiliary and pancreatic ducts. Ascariasis is the most common parasitic cause of pancreatitis in endemic region. Pancreatitis can result due to pancreatic ascariasis, biliary ascariasis or both. Pancreatitis due to ascariasis can be severe and life-threatening. We present a pictorial essay of acute pancreatitis due to ascariasis on four cases.
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References
Schulman A, Loxton AJ, Heydenrych JJ, Abdurahman KE (1982) Sonographic diagnosis of biliary ascariasis. AJR 139:485–489
Khuroo MS (1996) Ascariasis. Gastroenterol Clin North Am 25:553–577
Parenti DM, Steinberg W, Kang P (1996) Infectious causes of acute pancreatitis. Pancreas 13:356–371
Khuroo MS, Zargar SA, Yattoo GN et al (1992) Ascaris-induced acute pancreatitis. Br J Surg 79:1335–1338
Lai HC, Cheng KS, Hsu CH et al (1998) Biliary ascariasis induced acute pancreatitis: a case report. M Taiwan J Med 3:181–6
Jia TW, Melville S, Utzinger J, King CH, Zhou XN (2012) Soil-transmitted helminth reinfection after drug treatment: a systematic review and meta-analysis. PLoS Negl Trop Dis 6(5):e1621. doi:10.1371/journal.pntd.0001621
Maddern GJ, Dennison AR, Blumgart LH (1992) Fatal ascaris pancreatitis: an uncommon problem in the west. Gut 33:402–403
Ortega CD, Ogawa NY, Rocha MS et al (2010) Helminthic diseases in the abdomen: an epidemiologic and radiologic overview. RadioGraphics 30:253–267
Acknowledgments
The authors would like to thank Dr. Pynkhambor P. Lyngdoh, medical and health officer, Ganesh Das Hospital, Lawmali, Shillong 793001, Meghalaya, India, the staffs of the Department of Radiology and Imaging at Ganesh Das Hospital and Supercare Hospital, Shillong, Meghalaya, India.
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Lynser, D., Thangkhiew, R.S., Laloo, D. et al. Acute pancreatitis due to ascariasis: a sonographic pictorial essay on four cases. Emerg Radiol 23, 303–307 (2016). https://doi.org/10.1007/s10140-016-1394-1
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DOI: https://doi.org/10.1007/s10140-016-1394-1