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CC BY-NC-ND 4.0 · Journal of Clinical Interventional Radiology ISVIR
DOI: 10.1055/s-0044-1786710
Case Report

Myiasis in Percutaneous Transhepatic Biliary Drainage Site

Tara Prasad Tripathy 
1   Department of Radiodiagnosis, All India Institute of Medical Sciences, Bhubaneswar, Orissa, India
,
Ranjan Patel
1   Department of Radiodiagnosis, All India Institute of Medical Sciences, Bhubaneswar, Orissa, India
,
Ripan Debbarma
1   Department of Radiodiagnosis, All India Institute of Medical Sciences, Bhubaneswar, Orissa, India
,
Sunita Gupta
2   Department of Surgical Gastroenterology, All India Institute of Medical Sciences, Bhubaneswar, Orissa, India
,
Brahmadutta Pattanaik
2   Department of Surgical Gastroenterology, All India Institute of Medical Sciences, Bhubaneswar, Orissa, India
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Abstract

The infection of dipterous larvae causes myiasis. It is generally associated with unsanitary conditions. An interventional radiologist rarely comes across myiasis. We report a case of myiasis around a percutaneous transhepatic biliary drainage (PTBD) tube. A 31-year-old man from a rural area underwent left PTBD for cholangiocarcinoma and was discharged with an internal–external drain. Two weeks later, he presented with pain in the local site, pruritus, and bile leakage. He was found to have maggots around the PTBD tube with poor wound hygiene. Treatment included turpentine oil instillation and oral and topical ivermectin, accompanied by manual removal of the larva.

Keywords

myiasis - percutaneous transhepatic biliary drainage - ivermectin


Publication History

Article published online:
13 May 2024

© 2024. Indian Society of Vascular and Interventional Radiology. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)

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