Greulich T, Kohler B
Medizinische Klinik, Fürst-Stirum-Klinik Bruchsal.
Z Gastroenterol. 2000 Apr;38(4):301-6.
Obstructive jaundice caused by a parasitosis is very rare. It can be a complication of a cystic echinococcosis. We present the case of a 33-year-old man who suffered from cystic echinococcosis with an affection of the liver for several years. As a complication an echinococcal cyst had ruptured into the biliary tract and had led to an occlusion of the ductus hepatocholedochus. By means of ERCP the membrane of the echinococcal liver cyst was extracted in toto. Cholangioscopy followed and showed a free biliary tract without remaining cyst fragments. After these interventions the blood parameters normalized and the patient recovered. An additive chemotherapy with albendazole was started.
由寄生虫病引起的梗阻性黄疸非常罕见。它可能是囊性棘球蚴病的一种并发症。我们报告一例33岁男性患者，患有囊性棘球蚴病并累及肝脏数年。作为并发症，一个棘球蚴囊肿破裂进入胆道，导致肝总管梗阻。通过内镜逆行胰胆管造影（ERCP），将棘球蚴性肝囊肿的囊膜完整取出。随后进行了胆管镜检查，显示胆道通畅，无残留囊肿碎片。经过这些干预措施后，血液参数恢复正常，患者康复。开始使用阿苯达唑进行辅助化疗。
