Jethwani Umesh, Singh G J, Sarangi P, Kandwal Vipul
Deparment of Surgery, Vardhman Mahavir Medical College & Safdarjung Hospital, New Delhi 110029, India.
Case Rep Surg. 2012;2012:561563. doi: 10.1155/2012/561563. Epub 2012 Aug 16.
Ascariasis is one of the most common helminthic diseases in humans, occurring mostly in countries with low standards of public health and hygiene, thereby making ascariasis highly endemic in developing countries. In endemic areas, 30% of adults and 60-70% of children harbour the adult worm. Biliary ascariasis is a rare cause of obstructive jaundice. Conventional management involves endoscopic extraction of worm. We are reporting a rare case of ascaris which induced extrahepatic biliary obstruction in a young male who presented with acute cholangitis. The ascaris was removed by laparoscopic exploration of the common bile duct. Postoperative period was uneventful.
蛔虫病是人类最常见的蠕虫病之一，主要发生在公共卫生和卫生标准较低的国家，因此在发展中国家蛔虫病高度流行。在流行地区，30%的成年人和60%-70%的儿童体内有成虫。胆道蛔虫病是梗阻性黄疸的罕见病因。传统治疗方法是通过内镜取出蛔虫。我们报告了一例罕见的蛔虫病例，该病例导致一名患有急性胆管炎的年轻男性出现肝外胆管梗阻。通过腹腔镜探查胆总管取出了蛔虫。术后恢复顺利。
