Khanduri Sachin, Parashari Umesh C, Agrawal Deepak, Bhadury Samarjit
Professor, Department of Radio Diagnosis, Era's Lucknow Medical College, Lucknow, India.
Trop Doct. 2014 Jan;44(1):50-2. doi: 10.1177/0049475513512637. Epub 2013 Nov 19.
Ascariasis of the gallbladder is a very rare presentation. We report a case of a 15-year-old boy who presented with complaints of pain in the abdomen, vomiting, pruritus, and fever on-and-off for 10 days. On radiological examination, an ultrasonography of the abdomen showed a dilated gallbladder with multiple linear echogenic, tubular, parallel lines inside the lumen of the gallbladder, common bile duct and intrahepatic biliary radicles. The zigzag and coiling movement of a worm was noted in the lumen of the gallbladder on real time B-mode ultrasonography. The patient was successfully treated with an anthelminthic drug. On follow up no evidence of the worm was noted in the gallbladder or common bile duct lumen.
胆囊蛔虫病是一种非常罕见的病症。我们报告一例15岁男孩的病例,该男孩主诉腹部疼痛、呕吐、瘙痒并间断发热10天。经影像学检查,腹部超声显示胆囊扩张,胆囊腔内、胆总管及肝内胆管分支内有多个线性回声、管状、平行线状结构。实时B超检查发现胆囊腔内有一条蛔虫呈曲折和盘绕运动。该患者用驱虫药成功治愈。随访时,未发现胆囊或胆总管腔内有蛔虫迹象。