Erratic Biliary Ascariasis as an Exotic Cause of Obstructive Jaundice

Authors

Keywords:

ictericia obstructiva, áscaris lumbricoides, colédoco

Abstract

Introduction: Ascaris lumbricoides is the most frequent helminthiasis in the human gastrointestinal tract; the highest prevalence is recorded in developing, tropical and subtropical countries. In Cuba, it constitutes an exotic cause of obstructive jaundice with few reported cases.

Objective: To describe the successful therapeutic management of a case of a man with obstructive jaundice secondary to choledochal ascariasis.

Clinical case report: We report the case of a 74-year-old patient operated on at Lucía Íñiguez Landín Surgical Clinical Hospital, in Holguín province, for obstructive jaundice due to choledochal ascariasis, with satisfactory clinical-surgical evolution.

Conclusions: In developing countries, ascariasis should be taken into account as a cause of biliary or pancreatic obstructive disease. Knowledge of the clinical condition and its complications, in addition to the different treatment options, should be the domain of every physician. Obstructive jaundice due to ascaris lumbricoides constitutes an exotic cause of this parasite infestation in Cuba.

Keywords: obstructive jaundice; ascaris lumbricoides; common bile duct.

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Author Biographies

Joaquín Alejandro Solarana Ortiz, Hospital Clínico Quirúrgico "Lucía Iñiguez Landín", Holguín,

Candidato a Doctor en Ciencias Médicas. Especialista de II Grado en Cirugía General y Medicina General Integral. Profesor Auxiliar e Investigador Agregado.

Orlando Martínez Rosales, Hospital Clínico Quirúrgico "Lucía Iñiguez Landín", Holguín,

Residente de 4to año de Cirugia General

José Guzmán Lorenzo Díaz, Hospital Clínico Quirúrgico "Lucía Iñiguez Landín", Holguín,

Doctor en Ciencias Médicas. Máster en Urgencias Médicas. Especialista de II Grado en Cirugía General. Profesor Titular y Consultante. Servicio de Trasplantes.

Neyla Santiesteban Collado, Hospital Clínico Quirúrgico "Lucía Iñiguez Landín", Holguín,

Doctora en Ciencias Médicas. Máster en Urgencias Médicas. Especialista de II Grado en Cirugía General. Profesora Titular. Servicio de Trasplantes.

Annarelis Pérez Pupo, Hospital General Universitario “Vladimir I. Lenin", Holguín

Licenciada en Gestión de la Información en Salud. Asistente. Investigadora Agregada.

Published

2022-05-20

How to Cite

1.
Solarana Ortiz JA, Martínez Rosales O, Lorenzo Díaz JG, Santiesteban Collado N, Pérez Pupo A. Erratic Biliary Ascariasis as an Exotic Cause of Obstructive Jaundice. Rev. Cub. Cir. [Internet]. 2022 May 20 [cited 2025 Jan. 18];61(2). Available from: https://revcirugia.sld.cu/index.php/cir/article/view/1084

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Presentaciones de casos

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