Botembe N, Cabrera-Alvarez G, Le Moine O, Cremer M
Hopital Universitaire Erasme, Service de Gastro-Enterologie, Universite Libre de Bruxelles, Belgique.
Acta Gastroenterol Belg. 1999 Oct-Dec;62(4):443-5.
Ascaris lumbricoides is the most frequent human helminthic parasite. Usually human ascariasis is poorly symptomatic but complications can arise due to worm migration. Erratic worm migration into the biliary tree is a rare but threatening condition regarding the associated complications: cholecystitis, pancreatitis, obstruction of bile ducts, liver abcesses and recurrent pyogenic cholangitis. We describe a case of a young belgian women suffering from recurrent biliary colics over a period of eight months with repeated normal ultrasound findings. ERCP proved being the only effective diagnostic procedure for a living biliary worm, which was successfully removed with a balloon catheter.
蛔虫是人类最常见的蠕虫寄生虫。通常，人体蛔虫病症状较轻，但蠕虫移行可能会引发并发症。蛔虫异常移行至胆管是一种罕见但具有威胁性的情况，可能引发胆囊炎、胰腺炎、胆管梗阻、肝脓肿和复发性化脓性胆管炎等并发症。我们报告一例年轻比利时女性病例，该患者在八个月内反复出现胆绞痛，超声检查结果多次正常。内镜逆行胰胆管造影术（ERCP）被证明是诊断活的胆管蛔虫的唯一有效诊断方法，最终通过球囊导管成功取出蛔虫。
