Gómez N A, Ortíz O, León C J, Iñíguez S
Unidad Gastrointestinal, Instituto de Enfermedades Digestivas, Fundación Esperanza, Guayaquil, Ecuador.
Acta Gastroenterol Latinoam. 1992;22(2):129-31.
Two patients who complained of a clinical picture compatible with cholelithiasis; and in whom the diagnosis of ascariasis of the gallbladder was made sonographically, are reported. In the first patient, cholecystectomy was curative and corroborated the presence of the roundworm. In the second patient, piperazine citrate was given. A second sonogram performed after therapy showed no roundworm within the gallbladder; and the patient remains asymptomatic until now. The usefulness of ultrasonography in the diagnosis of gallbladder ascariasis, and during surveillance in those patients who are managed with medical therapy only, is emphasized.
报告了两名主诉临床表现与胆石症相符的患者；超声检查诊断为胆囊蛔虫病。首例患者行胆囊切除术治愈，证实存在蛔虫。第二例患者给予枸橼酸哌嗪治疗。治疗后复查超声显示胆囊内无蛔虫；该患者至今无症状。强调了超声检查在胆囊蛔虫病诊断及仅接受药物治疗患者的监测中的作用。
