Prevalence of Biliary Ascariasis in Bajaur and Dir District of KPK and Role of Ultrasound in Detecting Worms in Common Bile Duct and Pancreatic Duct

Abstract

Objective: Investigate the prevalence of biliary ascariasis in Bajaur and Dir districts, assess ultrasound's role in detection within the common bile duct and pancreatic duct, and evaluate its efficacy in diagnosis and management.

Study Design: A prospective descriptive study

Place and Duration of Study: This study was conducted at the Department of Radiology DHQ Hospital Timergira Lower Dir from January 2023 to January 2024.

Methods: Biliary ascariasis was diagnosed sonographically in 47 individuals throughout the course of a prospective one-year trial average 50.4 years old (standard deviation=05.4. This research, which is prospective in nature, is being conducted at the Temargara Teaching Hospital Lower dir. Department of Radiology DHQ. The primary basis for the diagnosis was sonographic appearances, which were corroborated by clinical and laboratory findings and shown by the outcomes of medicinal therapy, worm spontaneous expulsion, or ERCP. Every patient had a follow-up ultrasound to verify the diagnosis and track treatment.

Results: 47 patients in total Main pancreatic duct n-4(8%), Gallbladder n-12(24%), Dilated Main Bile Duct n-23 (46%), Intrahepatic Ducts n-6(12%), Intrahepatic Abscess n-5(10%)genders: n-24 (51.8%) and n-23 (49.2%)  The average age was 31.2 years, and 49.2% of the population (n = 23) belonged to the 06–80 age group. Ascaris lumbricoides is characterized by the presence of one or more echogenic, non-shadowing, linear or curved strips, with or without echoic tubular center lines that symbolize the worm's digestive tracts.

Conclusion: It was discovered that follow-up ultrasonography worked well for both monitoring the treatment and validating the diagnosis.