Gallbladder Perforation with Choledochogastric Fistula Due to Ascaris Infestation, a Case Report

Abstract

We present a case of a 35-year-old Ethiopian female patient presented with right upper quadrant abdominal pain. Studies suspected gallbladder disease, for which she operated. Intraoperatively, gallbladder perforation with choledochogastric fistula was identified, with Ascaris lumbricoides (AL) worm in the common bile duct. Cholecystectomy was performed; common bile was repaired with T-tube and gastric repair. Patient was discharged 11 days after. On subsequent follow-up at the surgical referral clinic, the patient had no complaints.

Keywords:

• gallbladder perforation
• fistulous communication
• Ascaris lumbricoides
• case report

Abbreviations

CBD, Common bile duct; CT, Computed tomography; ERCP, Endoscopic retrograde cholangiopancreatography; HBA, Hepatobiliary ascariasis; NG, Nasogastric tube; NPO, Nothing per os.

Data Sharing Statement

The authors of this case report are prepared to offer any further details about the case report upon request.

Ethical Clearance

The case report was submitted for the Ethical Board Review and was accepted as a report with strong ethical standards.

Consent

Written informed consent was taken from the patient for publication of this case report and any accompanying images. A copy of the written consent is available for review for the editor-in-chief of this journal on request.

Disclosure

The authors declare that there is no conflicts of interest in this work.