Braga L H, Tatsuo E S, Guimarães J T, Miranda M E, Paixão R M, Teixeira C R, Piçarro C, Lanna J C
Department of Surgery, Faculty of Medicine, Hospital das Clínicas, Federal University of Minas Gerais, Belo Horizonte, MG, Brazil.
J Pediatr Surg. 2000 Sep;35(9):1394-5. doi: 10.1053/jpsu.2000.9350.
The authors report on a 6-year-old girl with biliary ascariasis after surgical treatment of a choledochal cyst and biliary-digestive tract reconstruction by Roux-en-Y hepaticojejunostomy. A precise diagnosis can be obtained by ultrasonography. Surgical treatment is required when clinical and endoscopic treatments fail. In countries in which this disease is endemic, biliary ascariasis should be considered in the differential diagnosis of cholangitis after surgery for hepaticojejunostomy.
作者报告了一名6岁女孩，她在胆总管囊肿手术治疗及经Roux-en-Y肝空肠吻合术进行胆消化道重建后发生了胆道蛔虫病。超声检查可获得准确诊断。当临床和内镜治疗失败时需要进行手术治疗。在该病流行的国家，肝空肠吻合术后胆管炎的鉴别诊断中应考虑胆道蛔虫病。
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