Rezaul Karim M
Department of Surgery, Chittagong Medical College & Hospital, Bangladesh.
Int Surg. 1991 Jan-Mar;76(1):27-9.
This paper describes the management of 12 cases of biliary ascariasis at the Chittagong Medical College & Hospital, Chittagong, Bangladesh. The diagnosis may be done clinically or on the basis of mere suspicion if sophisticated investigations like ultrasonography scanning etc. are not available. Laparotomy and exploration of the bile duct is essential as the condition does not improve by conservative treatment. The Ascaris Lumbricoides can be removed by strong suction from the bile duct. Retained Ascaris can be expelled from the bile duct by anti-spasmodic drug for the relaxation of the sphincter of oddi and by hydrostatic pressure in the bile duct by infusion of normal saline solution through the T-tube.
本文描述了在孟加拉国吉大港吉大港医学院附属医院对12例胆道蛔虫病的治疗。如果没有超声扫描等精密检查手段，可通过临床诊断或仅凭怀疑进行诊断。由于保守治疗无法改善病情，剖腹探查胆管至关重要。可通过强力吸引从胆管中取出蛔虫。残留的蛔虫可通过使用解痉药物使奥迪括约肌松弛，以及通过经T形管注入生理盐水在胆管内形成静水压力，从而将其从胆管中排出。
