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April 1958

Jaundice Due to Ascaris Obstruction of the Common Bile Duct in an Infant

Author Affiliations

Galveston, Texas
From the Charity Hospital of Louisiana, New Orleans and the Department of Surgery, University of Texas—Medical Branch.

AMA Arch Surg. 1958;76(4):630-632. doi:10.1001/archsurg.1958.01280220150030

Jaundice in a 2-year-old infant in this country, secondary to an obstruction of the common bile duct by Ascaris lumbricoides, is so unusual that the following case is reported.

Report of a Case  A 2-year-old Negro boy had been in good health until 10 days prior to admission, when he developed severe watery diarrhea, associated with anorexia and weakness. Three days before admission he vomited an adult ascarid, and the very next day the mother observed that the child's urine was very dark and that his eyes had a yellow tint. The day before admission he vomited 20 more worms, but there was no history of his having passed any worms in the stools.In his earlier history, the child had had no severe illnesses other than upper respiratory infections. At the age of 8 months he had been treated for an Ascaris infestation, after which he passed 50 worms;

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