Cakır Ozlem Ozer, Ataseven Hüseyin, Demir Ali
Selçuk Üniversitesi Meram Tıp Fakültesi, İç Hastalıkları Anabilim Dalı, Gastroenteroloji Bilim Dalı, Konya, Turkey.
Turkiye Parazitol Derg. 2012;36(4):251-3. doi: 10.5152/tpd.2012.59.
Liver hydatid cysts are known to rupture into the biliary tree, but acute pancreatitis is a rare complication of intra-biliary rupture. Intra-biliary rupture was first reported in 1928 by Dew. Intra-biliary rupture is a serious complication of hepatic hydatid cysts. The incidence varies from 1% to 25% in adult patients. In our case, we aimed to show the migration of the material of a hepatic hydatid cyst to the common bile duct and the impaction of hydatid membrane in the papillary orifice, which may cause acute pancreatitis. Parasitic infections should be considered as a differential diagnosis in patients with acute biliary pancreatitis.
肝包虫囊肿破裂进入胆管树是已知的情况,但急性胰腺炎是胆管内破裂的一种罕见并发症。胆管内破裂最早于1928年由德伊报道。胆管内破裂是肝包虫囊肿的一种严重并发症。成年患者的发病率在1%至25%之间。在我们的病例中,我们旨在展示肝包虫囊肿的内容物向胆总管的迁移以及包虫膜在乳头开口处的嵌顿,这可能导致急性胰腺炎。对于急性胆源性胰腺炎患者,应将寄生虫感染视为鉴别诊断之一。