Balakh Sher Zaman, Muneeba Nasir, Ahmad Kaleem.
Is Ascaris Induced Pancreatitis being Under-diagnosed? a case report.
Pak J Med Health Sci Jan ;12(1):423-5.

The extraintestinal manifestations of ascaris infestation, particularly acute pancreatitis with or without cholangitis are rare to present. This case report highlights this underdiagnosed etiology of acute pancreatitis, making it first such documented report in Pakistan ever. A 13 years old presented with pain epigastrium and nausea for one day. A diagnosis of acute pancreatitis of unknown etiology was made on clinical grounds and results of preliminary laboratory investigations. It was only after vomiting of worms by the patient that a suspicion of biliary ascariasis was raised. An undoubted diagnosis of ascaris induced pancreatitis was made based on vomitus containing worms and absence of all other known etiologies of acute pancreatitis. Patient was managed conservatively. The best tool to avoid missing diagnosis of ascaris induced pancreatitis is to keep high level of suspicion in patients living in unhygienic habitats .

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