Document Detail

Biliary ascariasis: percutaneous transhepatic management.
MedLine Citation:
PMID:  12631647     Owner:  NLM     Status:  MEDLINE    
In a 60-year-old woman who underwent cholecystectomy and T-tube drainage for biliary ascariasis, postoperative bilirubin levels continued to increase. T-tube cholangiography revealed multiple filling defects in the bile ducts, which suggested roundworm reinfestation. Because the patient could not tolerate endoscopy, a percutaneous transhepatic approach with balloon dilatation of the ampulla of Vater and subsequent advancement of roundworms into the duodenum with an embolectomy balloon was used. The procedure was successful, with no major complications. The use of a percutaneous transhepatic treatment to advancement of roundworms into the duodenum is a feasible alternative to surgery when endoscopic extraction fails.
Nevzat Ozcan; Nuri Erdogan; Can Kucuk; Engin Ok
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Journal of vascular and interventional radiology : JVIR     Volume:  14     ISSN:  1051-0443     ISO Abbreviation:  J Vasc Interv Radiol     Publication Date:  2003 Mar 
Date Detail:
Created Date:  2003-03-12     Completed Date:  2003-06-13     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  9203369     Medline TA:  J Vasc Interv Radiol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  391-3     Citation Subset:  IM    
Department of Radiology, Erciyes University Faculty of Medicine, 38039-Kayseri, Turkey.
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MeSH Terms
Ascariasis / therapy*
Balloon Dilatation / methods*
Bile Duct Diseases / therapy*
Common Bile Duct
Hepatic Duct, Common
Middle Aged
Sphincter of Oddi

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