Keating Aine, Quigley James Aidan, Genterola Al Frederick
Norwich Medical School, University of East Anglia, Norwich, UK.
BMJ Case Rep. 2012 Dec 13;2012:bcr2012007250. doi: 10.1136/bcr-2012-007250.
Ascaris lumbricoides is one of the most prevalent parasitic infections, especially in developing countries. Its presence can lead to a multitude of presentations, one of the rarer ones being obstructive jaundice due to migration of the worm in to the biliary tree. We describe a case of a man who presented as an emergency to the general surgeons complaining of abdominal pain, fever, jaundice and vomiting. Ultrasound was used and the diagnosis of biliary ascariasis was made. The patient underwent surgery consisting of a cholecystectomy, common bile duct exploration and T-tube choledochostomy. Our report highlights the varied aetiology of obstructive jaundice and the importance of including biliary ascariasis in the differential diagnosis of the jaundiced patient, especially from endemic areas.
蛔虫是最常见的寄生虫感染之一，尤其是在发展中国家。它的存在可导致多种临床表现，其中较罕见的一种是由于蛔虫迁移至胆管树而引起的梗阻性黄疸。我们描述了一例男性患者，他作为急诊患者被送至普通外科医生处，主诉腹痛、发热、黄疸和呕吐。通过超声检查做出了胆道蛔虫病的诊断。患者接受了包括胆囊切除术、胆总管探查术和T管胆管造口术的手术。我们的报告强调了梗阻性黄疸的多种病因，以及在黄疸患者，尤其是来自流行地区的黄疸患者的鉴别诊断中纳入胆道蛔虫病的重要性。
