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Revista Salud Uninorte
On-line version ISSN 2011-7531
Abstract
TUNON PITALUA, Martha et al. Hepatic ascariasis: report of a case and review of the literature. Salud, Barranquilla [online]. 2014, vol.30, n.2, pp.252-257. ISSN 2011-7531.
Liver abscess caused by Ascaris is a very rare presentation, constituting about the 1 % of all cases and can consist on eggs and adult worms. There is a case of a 70 years woman admitted in emergency room due to colicky pain in the upper abdomen, vomiting, fever and abdominal mass sensation, the report of abdominal ultrasound shows cholelithiasis, Ascaris in the common bile duct and pancreatic enlarge-ment. Computed tomography showed an image reflecting collection in liver and in the front of the pancreas. The liver biopsy reported chronic mixed inflammatory infíltrate of predominantly eosinophilic multinucleated with giant cells and dead tissue, associated to circular structures that are compatible with ascariasis. Antibiotic and anthelmintics treat-ment is performed with satisfactory evolution. In the consulted literature are rare reported cases of hepatic ascariasis, what is relevant for the report of the case.
Keywords : Ascaris lumbricoide; ascariasis; liver abscess; pyogenic.