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[胆道蛔虫症致梗阻性黄疸:1例急腹症]

[Biliary ascaris-induced obstructive jaundice: a case of acute abdomen].

作者信息

Oztürk Hayrettin, Oztürk Hülya, Duran Hatun, Otçu Selçuk

机构信息

Department of Pediatric Surgery, Abant Izzet Baysal University, Faculty of Medicine, Bolu, Turkey.

出版信息

Ulus Travma Acil Cerrahi Derg. 2009 Jan;15(1):88-90.

Abstract

Ascaris lumbricoides is one of the most common helminthic diseases worldwide and it can cause various complications. The presence of this worm in the biliary tree, however, is a rare condition, especially in children. We describe a child with biliary ascariasis who was presenting clinical symptoms mimicking surgical acute abdomen. The diagnosis was made by ultrasound. The child was successfully treated with mebendazole and anti-spasmolytic. Biliary ascariasis should be added to the differential diagnosis of acute abdominal pain in patients, even in children, from endemic areas.

摘要

蛔虫是全球最常见的蠕虫病之一,可引起各种并发症。然而,这种蠕虫出现在胆管树中是一种罕见情况,尤其是在儿童中。我们描述了一名患有胆道蛔虫病的儿童,其临床表现类似外科急腹症。通过超声做出诊断。该儿童用甲苯咪唑和抗痉挛药成功治愈。即使是来自流行地区的患者,甚至是儿童,在急性腹痛的鉴别诊断中也应考虑胆道蛔虫病。

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