Uygur-Bayramiçli O, Ak O, Dabak R, Demirhan G, Ozer S
Department of Gastroenterology Maltepe Universit School of Medicine, Istanbul.
Acta Clin Belg. 2012 Nov-Dec;67(6):436-7. doi: 10.2143/ACB.67.6.2062709.
Parasitic infestations of the galdbladder and biliary tract are quite rare. Taenia saginata is an intestinal helmint and patients harbouring adult T.saginata tapeworms are mostly asymptomatic and discharge only fecal proglottids. In some cases there might be nonspecific symptoms like vomiting, nausea, epigastric pain, diarrhea and weight loss. Tenia saginata is a also rare cause of ileus, pancreatitis, cholecystitis and cholangitis. We report a case of acute cholangitis caused by T. saginata presenting with fever, nausea, vomiting, jaundice and right upper quadrant pain. Although parasites are not an uncommon cause of cholangitis especially in diseaseendemic areas like the Far East, this is not true for T. saginata causing acute cholangitis.
胆囊和胆道的寄生虫感染相当罕见。牛带绦虫是一种肠道寄生虫，感染牛带绦虫成虫的患者大多没有症状，仅排出粪便中的节片。在某些情况下，可能会出现呕吐、恶心、上腹部疼痛、腹泻和体重减轻等非特异性症状。牛带绦虫也是肠梗阻、胰腺炎、胆囊炎和胆管炎的罕见病因。我们报告一例由牛带绦虫引起的急性胆管炎病例，患者表现为发热、恶心、呕吐、黄疸和右上腹疼痛。虽然寄生虫尤其是在远东等疾病流行地区是胆管炎的常见病因，但牛带绦虫引起急性胆管炎并非如此。
