Usefulness of ultrasound in the diagnosis of lumbricoid ascaris. Case Report and Literature Review
DOI:
https://doi.org/10.62486/agmu202499Keywords:
Ascaris Lumbricoides, biliary obstruction, jaundice, ascariasisAbstract
Introduction. The World Health Organization (WHO) points out that more than a third of the world's population is infected by one or more parasites. Ascariasis is the most prevalent parasitic disease in the world, with approximately 664 million people infested.
Clinical case. A 22-year-old female patient enters the emergency department with general malaise, with worsening symptoms in recent days, intense abdominal pain, associated with nausea and uncontrollable vomiting. She also reports non-elimination of gas and absence of bowel movements. . An emergency ultrasound is requested, it reports the stomach with the presence of a linear, tubular echogenic image that moves in different directions.
Discussion. The widespread use of ultrasound in Emergency Departments for the diagnosis of acute abdomen, as well as in the laboratory, allowed us to reach the presumptive diagnosis of temporary biliary obstruction due to A. lumbricoides, in addition, the presence of jaundice, direct hyperbilirubinemia and discrete elevation gamma-glutamyltransferase (GGT); findings that could direct the exploration of the bile duct during the surgical procedure.
Conclusions. The importance of the clinical case lies in the use of abdominal ultrasound as a diagnostic method for Ascaris Lumbricoides. The use of ultrasound in emergency services is essential in the presence of an acute abdomen, and in any patient who presents acute biliary symptoms, always think about this pathology
References
Acuña A, Calegari L, Curto S, Lindner C, Rosa R, Salvatella R, et al. Helmintiasis intestinales: manejo de las Geohelmintiasis. Montevideo: OPS, 2008.
Organización Panamericana de la Salud. Marco de referencia de un programa regional para el control de las geohelmintiasis y esquistosomiasis en América. Santo Domingo: OPS, 2003:5-35.
Arcia M, Carrillo N, Quintero G, Oliva G. Ascariasis biliar. Rev Venez Cir 1990; 43(1):33-5.
Pearson R, 2017. Ascariasis. Obtenido de: https://www.msdmanuals.com/es-
Bethony J, Brooker S, Albonico M, Geiger SM, Loukas A, Diemert D, et al. Soiltransmitted helminth infections: Ascariasis, trichuriasis, and hookworm. Lancet.2006;367:1521–32. DOI: https://doi.org/10.1016/S0140-6736(06)68653-4
Walker M, Hall A, Basánez˜ MG. Individual predisposition, household clustering and risk factors for human infection with Ascaris lumbricoides: New epidemiological insights. PLoS Negl Trop Dis. 2011;5:e1047. DOI: https://doi.org/10.1371/journal.pntd.0001047
OPS/OMS | Organización Panamericana de la Salud. Geohelmintiasis [Internet]. Geohelmintiasis en las Américas para público en general. 2017 [citado 3 de diciembre de 2021]. Disponible en: https://www.paho.org/es/temas/geohelmintiasis.
Sergio Mollinedo, Cecilia prieto. El enteroparasitismo en Bolivia. 2006.
C. Hommeyer, G. S. Hamill, J. A. Johnson. CT diagnosis of intestinal ascariasis. Abdom Imaging 20:315 -316 (1995) DOI: https://doi.org/10.1007/BF00203361
Eric J. Rodriguez, MD, Maggie A. Gama, MD, Sanford M. Ornstein, MD, William D. Anderson, MD. 2003. Ascariasis Causing Small Bowel Volvulus. RadioGraphics 2003, 23:1291-1293. DOI: https://doi.org/10.1148/rg.235025155
CJ Das, J Kumar, J Debnath, A Chaudhry. Imaging of ascariasis. Australasian Radiology (2007) 51, 500-506. https://doi.org/10.1111/j.1440-1673.2007.01887.x DOI: https://doi.org/10.1111/j.1440-1673.2007.01887.x
Q.F. Angela Del Rocio Mite Parrales. “Incidencia de parasitismo por ascaris lumbricoides en la parroquia Manuel j. calle”. 2001.
Castaño, R., Yepes, N.L., Sanín, E., &Sepúlveda, M. (2013). Ascaridiasis biliar: manejo endoscópico. Rev Colomb Gastroenterol.,18, 83-87.
Coello, L. (2012). Repercusión sobre la Productividad Estudiantil de las Helmintiasis Intestinales. Revista Médica de Nuestros Hospitales, 18 (4), 183- 186. Recuperado de
Napoleón González Saldañaa, Javier Ordoñez Ortegaa, Cecilia Ridaura-Sanzb, Salim Kuri Ayalac, José Iván Castillo Bejarano. Arch. Pediatr. Urug. complicaciones simultáneas de ascariasis invasiva: migración errática. 2019 DOI: https://doi.org/10.1016/j.mcpsp.2019.02.001
Alfredo Chiappe, Kovy Arteaga, Cristhian Resurrección, Marcos Ñavincopa y Eduardo Ticona. Obstrucción intestinal por Ascaris lumbricoides en un adulto mayor. 16 de agosto de 2016.
Chiappe, A., Arteaga, K., Resurrección, C., Ñavincopa, M., & Ticona, E. (2016). Obstrucción intestinal por Ascaris lumbricoides en un adulto mayor. Revista chilena de infectología, 33(5), 572-575. https://dx.doi.org/10.4067/S0716-10182016000500014. DOI: https://doi.org/10.4067/S0716-10182016000500014
Neira, J., Manzo, C., Abad, L., & Santana, R. (2018). Isquemia intestinal por vólvulo de intestino delgado ocasionado por Ascaris múltiple. A propósito de un caso. Revista Médica de Nuestros Hospitales, 18 (4),187-190. Recuperado de
https://www.juntadebeneficencia.org.ec/revista/vol18no4/2442-isquemia-intestinal.
Orellana, A., Gonzabay, M., & Mosquera, R. (2010). Complicaciones hepatobiliares: Ascaridiasis y litiasis coledociana. Revista Médica de Nuestros Hospitales, 16 (1), 28-31. Recuperado de https://www.juntadebeneficencia.org.ec/revista/numeros-anteriores/513-revistamedica-vol16-no1.
Tuñón Pitalua, M., Martínez Muñoz, E., & Gómez Villa, J. (2014). Ascariasis hepática. Reporte de un caso y revisión de la literatura. Salud Unmite Barranquilla (Col). 30(2):252-257. Recuperado de http://www.scielo.org.co/pdf/sun/v30n2/v30n2a16.pdf. DOI: https://doi.org/10.14482/sun.30.2.5664
T. Ripollés González. Radiología. (2020). Presentacion de la serie ‘ecografía del tracto digestivo’. Rev., de la Sociedad Española de Radiologia (SERAM), 62(6):500-501. Recuperdado de https://doi.org/10.1016/j.rx.2020.04.002 DOI: https://doi.org/10.1016/j.rx.2020.04.002
Downloads
Published
Issue
Section
License
Copyright (c) 2024 Ismael Vargas Gallego, Jhossmar Cristians Auza-Santivañez, Ariel Sosa Remón, Eloy Paycho Anagua , Marco Antonio Gumucio Villarroel, Ritdber Alfredo Quispe Sarmiento, Mildred Ericka Kubatz La Madrid (Author)
This work is licensed under a Creative Commons Attribution 4.0 International License.
The article is distributed under the Creative Commons Attribution 4.0 License. Unless otherwise stated, associated published material is distributed under the same licence.
