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Case Report
Ascaris lumbricoides in hepatic vein; a case of a common parasite in an ectopic site
1 Department of Medicine, College of Medical Sciences, PMB 1069, University of Maiduguri, Borno State, Nigeria
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Ballah Akawu Denue
Department of Medicine, College of Medical Sciences, PMB 1069, University of Maiduguri, Borno State,
Nigeria
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Article ID: 100081Z04BD2018
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Denue BA. Ascaris lumbricoides in hepatic vein; a case of a common parasite in an ectopic site. Int J Hepatobiliary Pancreat Dis 2018;8:100081Z04BD2018.ABSTRACT
Introduction: Ascaris lumbricoides is amongst the common helminthic disease worldwide. It is more prevalent in tropical and subtropical regions, especially in communities with dearth of basic amenities and poor socioeconomic conditions. Despite high incidence of intestinal ascariasis, and rare involvement of biliary and pancreatic tree, ectopic involvement of hepatic vein with adult worm is extremely rare.
Case Report: We report a case of 53-year-old male senior civil servant that presented with two months history of vague abdominal pain and nausea. Abdominal ultrasound scan revealed adult worm within the main trunk of the intrahepatic portal vein. Sonography was repeated on the 14th day after seven days of oral albendazole 400 mg daily. It showed complete disappearance of the adult worm devoid of residual focal lesion.
Conclusion: We report a rare case of intrahepatic adult worm in-situ portal vein that responded to oral antihelminthes. Sonography is an inexpensive, safe, non-invasive and valuable investigative tool that allows the observation of ascaris lumbroicoides in the liver.
Keywords: Ascaris lumbricoides, Intrahepatic, Sonography
SUPPORTING INFORMATION
Author Contributions
Ballah Akawu Denue - Substantial contributions to conception and design, Acquisition of data, Analysis of data, Interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Guarantor of SubmissionThe corresponding author is the guarantor of submission.
Source of SupportNone
Consent StatementWritten informed consent was obtained from the patient for publication of this case report.
Data AvailabilityAll relevant data are within the paper and its Supporting Information files.
Conflict of InterestAuthors declare no conflict of interest.
Copyright© 2018 Ballah Akawu Denue. This article is distributed under the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any medium provided the original author(s) and original publisher are properly credited. Please see the copyright policy on the journal website for more information.
