Uzeta Mejia S, González Amaya G L, Ramírez Aguilera N
Rev Gastroenterol Mex. 1976 Jan-Jun;41(1):31-4.
Ascaridiasis, as shown by Stoll is one of the most frequent parasitosis the world over; in our country is very frequent and its incidence is greater in the tropical areas. The emigration of the ascari to the biliary tract is cause of obstructive jaundice and acute cholecystitis. The clinical picture sometimes is taken for the one produced by biliary lythiasis. In the two cases presented the diagnosis was made during the trans-operative period. Ascaridiasis of the biliary ducts is more frequent in women; as judged by our cases and the cases reported by López Domínguez, Laviada and Tovia. The surgical treatment in our cases was cholecystectomy and cholocostomy with good results. This entity should be kept in mind as cause of obstructive jaundice or acute cholecystitis.
正如斯托尔所指出的，蛔虫病是全球最常见的寄生虫病之一；在我国极为常见，且在热带地区发病率更高。蛔虫移行至胆道是阻塞性黄疸和急性胆囊炎的病因。其临床表现有时会被误诊为胆石症所致。在本文所呈现的两例病例中，诊断是在手术过程中做出的。胆管蛔虫病在女性中更为常见；从我们的病例以及洛佩斯·多明格斯、拉维亚达和托维亚所报告的病例来看皆是如此。我们病例中的手术治疗方式为胆囊切除术和胆总管造口术，效果良好。应将此病症视为阻塞性黄疸或急性胆囊炎的病因加以考虑。
