Mercado Miguel Angel, Borja-Cacho Daniel, Domínguez Ismael, Maravilla Eduardo Carrillo, Sánchez Norberto, Zavaleta-Martínez Eli, Ramírez-Muciño Arturo, Barajas-Olivas Alexandra, Arceo-Olaiz Ricardo
Department of Surgery, Instituto Nacional de Ciencias Médicas y Nutrición "Salvador Zubirán", Mexico.
Ann Hepatol. 2006 Apr-Jun;5(2):120-2.
Roux en Y hepatojejunostomy is the surgery of choice for bile duct repair. Anastomotical dysfunction after reconstruction has several etiopathologies. Besides technical factors, ischemia of the duct is responsible for late obstruction. Bile colonization with secondary stones and sludge can also be identified as a cause. An unusual cause of anastomotical dysfunction secondary to ascaris biliary infestation after biliary reconstruction is reported herein. The patient had intermittent cholangitis and eosinophilia. At operation, the worm was found obstructing the anastomosis.
Roux-en-Y肝空肠吻合术是胆管修复的首选手术方式。重建术后吻合口功能障碍有多种病因。除技术因素外，胆管缺血是导致后期梗阻的原因。胆汁中出现继发性结石和胆泥也可被视为一个原因。本文报道了一例胆管重建后蛔虫胆道感染继发吻合口功能障碍的罕见病例。该患者有间歇性胆管炎和嗜酸性粒细胞增多症。手术时发现蛔虫阻塞了吻合口。
