Murugiah M, Sakijan A S
Department of General Surgery, General Hospital Kuala Lumpur.
Med J Malaysia. 1991 Sep;46(3):290-3.
This is a case report of ascaris worm in the common bile duct in a 61 year old lady. Ultrasound diagnosis was initially made based on the presence of linear hyperreflective foci within the common bile duct. ERCP confirmed a single worm within the duct. Balloon extraction was then successfully carried out following papillotomy. This case illustrates the value of ultrasound in the definitive diagnosis of biliary ascariasis and the therapeutic role of ERCP.
这是一例61岁女性胆总管蛔虫病的病例报告。最初根据胆总管内存在线性高回声灶作出超声诊断。内镜逆行胰胆管造影(ERCP)证实胆管内有一条蛔虫。然后在乳头切开术后成功进行了球囊取出术。该病例说明了超声在胆管蛔虫病明确诊断中的价值以及ERCP的治疗作用。