Oztürk Hayrettin, Oztürk Hülya, Duran Hatun, Otçu Selçuk
Department of Pediatric Surgery, Abant Izzet Baysal University, Faculty of Medicine, Bolu, Turkey.
Ulus Travma Acil Cerrahi Derg. 2009 Jan;15(1):88-90.
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.
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。