Gallbladder Ascariasis After Acute Pancreatitis Due to Parasitic Migration

A 30-year-old woman presented with acute pancreatitis, initially showing gallstones and peripancreatic fluid on ultrasound. A follow-up ultrasound, after symptom persistence, revealed mobile, tubular hyperechoic structures in the gallbladder; biliary ascariasis was diagnosed. The appearance of Ascar...

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Main Authors: N.M. Alegre Villanueva, E.J. Quiros Rodriguez, R.C. Gallegos Lopez, J.R. Mosqueira-Sánchez
Format: Article
Language:English
Published: American College of Physicians 2025-04-01
Series:Annals of Internal Medicine: Clinical Cases
Online Access:https://www.acpjournals.org/doi/10.7326/aimcc.2024.1051
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author N.M. Alegre Villanueva
E.J. Quiros Rodriguez
R.C. Gallegos Lopez
J.R. Mosqueira-Sánchez
author_facet N.M. Alegre Villanueva
E.J. Quiros Rodriguez
R.C. Gallegos Lopez
J.R. Mosqueira-Sánchez
author_sort N.M. Alegre Villanueva
collection DOAJ
description A 30-year-old woman presented with acute pancreatitis, initially showing gallstones and peripancreatic fluid on ultrasound. A follow-up ultrasound, after symptom persistence, revealed mobile, tubular hyperechoic structures in the gallbladder; biliary ascariasis was diagnosed. The appearance of Ascaris lumbricoides as a thick, echogenic structure without acoustic shadowing confirmed the parasitic migration. Treatment with albendazole resolved the symptoms within 72 hours. A subsequent ultrasound verified the absence of ascariasis, confirming the diagnosis and treatment success.
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publishDate 2025-04-01
publisher American College of Physicians
record_format Article
series Annals of Internal Medicine: Clinical Cases
spelling doaj-art-1b358f28c2d54bc68eae78fc9052d9702025-08-20T01:55:02ZengAmerican College of PhysiciansAnnals of Internal Medicine: Clinical Cases2767-76642025-04-014410.7326/aimcc.2024.1051Gallbladder Ascariasis After Acute Pancreatitis Due to Parasitic MigrationN.M. Alegre Villanueva0E.J. Quiros Rodriguez1R.C. Gallegos Lopez2J.R. Mosqueira-Sánchez31Department of Gastroenterology, Hospital María Auxiliadora, Lima, Peru2Universidad Autónoma de Guadalajara, Guadalajara, México1Department of Gastroenterology, Hospital María Auxiliadora, Lima, Peru3Department of Medicine, Clínica San Pablo, Lima, PerúA 30-year-old woman presented with acute pancreatitis, initially showing gallstones and peripancreatic fluid on ultrasound. A follow-up ultrasound, after symptom persistence, revealed mobile, tubular hyperechoic structures in the gallbladder; biliary ascariasis was diagnosed. The appearance of Ascaris lumbricoides as a thick, echogenic structure without acoustic shadowing confirmed the parasitic migration. Treatment with albendazole resolved the symptoms within 72 hours. A subsequent ultrasound verified the absence of ascariasis, confirming the diagnosis and treatment success.https://www.acpjournals.org/doi/10.7326/aimcc.2024.1051
spellingShingle N.M. Alegre Villanueva
E.J. Quiros Rodriguez
R.C. Gallegos Lopez
J.R. Mosqueira-Sánchez
Gallbladder Ascariasis After Acute Pancreatitis Due to Parasitic Migration
Annals of Internal Medicine: Clinical Cases
title Gallbladder Ascariasis After Acute Pancreatitis Due to Parasitic Migration
title_full Gallbladder Ascariasis After Acute Pancreatitis Due to Parasitic Migration
title_fullStr Gallbladder Ascariasis After Acute Pancreatitis Due to Parasitic Migration
title_full_unstemmed Gallbladder Ascariasis After Acute Pancreatitis Due to Parasitic Migration
title_short Gallbladder Ascariasis After Acute Pancreatitis Due to Parasitic Migration
title_sort gallbladder ascariasis after acute pancreatitis due to parasitic migration
url https://www.acpjournals.org/doi/10.7326/aimcc.2024.1051
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