Medicina

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Coledocolitiasis en adolescente de 14 años de edad.
(Universidad Técnica de Ambato-Facultad de Ciencias de la Salud-Carrera Medicina, 2016-11-01) Villafuerte Jaramillo, Silvana Cristina; Bracero Tobar, Wellington Ivar Dr.
By clinical problems present a case of a male patient of 14 years old, Hispanic, unmarried, Catholic, student, born and living in Ambato, without personal and surgical medical history. Presents five days of abdominal pain, unexplained, colicky, located in epigastric and right upper quadrant, high intensity, accompanied by asthenia, 24 hours after jaundiced skin and sclera, nausea arriving vomiting of food content and dark urine. Eco abdominal roundworm reported in bile duct, 4 days later ERCP rule roundworm and retirement calculation of Oddi. ERCP is complicated with acute pancreatitis (3) which resolved spontaneously with supportive treatment in 15 days. We conclude that although it has been reported high percentage of common bile áscaris. (18) ERCP is the standard to identify the cause of obstruction Gold because the echo just have a sensitivity and specificity in identifying the cause that does not exceed 40% (4)