Maddern G J, Dennison A R, Blumgart L H
Department of Visceral and Transplantation Surgery, Inselspital, Berne, Switzerland.
Gut. 1992 Mar;33(3):402-3. doi: 10.1136/gut.33.3.402.
Gastrointestinal parasites, although an uncommon cause of biliary and pancreatic problems in western medicine, can produce fatal complications. A Swiss patient presented with acute pancreatitis, with no evidence of gall stones or history of alcohol abuse. He died after a short fulminant illness. At necropsy, an Ascaris lumbracoides was found impacted within the ampulla of Vater and serves as a reminder that non-indigenous causes of biliary tract obstruction should not be overlooked.
胃肠道寄生虫虽然在西医中是引起胆道和胰腺问题的罕见原因,但可产生致命并发症。一名瑞士患者出现急性胰腺炎,无胆结石证据或酗酒史。他在一场短暂的暴发性疾病后死亡。尸检时,发现一条蛔虫阻塞在 Vater 壶腹内,这提醒人们不应忽视非本土原因导致的胆道梗阻。