Nagasaki Toshiya, Komatsu Hideaki, Shibata Yoshihito, Yamaguchi Hiroyuki, Nakashima Masahiro
Department of Surgery, Isahaya Health Insurance General Hospital, Japan.
Nihon Shokakibyo Gakkai Zasshi. 2011 Feb;108(2):275-9.
A 72-year-old man was referred to our hospital for suspected gallbladder cancer. We performed cholecystectomy with liver bed resection and lymph node dissection. Intraoperative cytological examination of the bile juice revealed some trophozoites of Giardia lamblia, and pathological examination revealed gallbladder cancer. Therefore, we diagnosed giardiasis associated with gallbladder cancer. We administered 750 mg per day metronidazole for 10 days. The patient was a farmer by occupation and used animal manure for agricultural purposes; he also consumed his own harvest, which was recognized as the infection route for his giardiasis. We reviewed the literature and found very few cases of giardiasis associated with gallbladder cancer.
一名72岁男性因疑似胆囊癌被转诊至我院。我们进行了胆囊切除术,同时切除肝床并清扫淋巴结。术中胆汁的细胞学检查发现了一些蓝氏贾第鞭毛虫滋养体,病理检查显示为胆囊癌。因此,我们诊断为与胆囊癌相关的贾第虫病。我们给予患者每天750毫克甲硝唑,持续10天。患者职业为农民,将动物粪便用于农业用途;他还食用自己收获的农产品,这被认为是他感染贾第虫病的途径。我们查阅文献,发现与胆囊癌相关的贾第虫病病例极少。