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胆囊蛔虫病:一例罕见病例报告及文献综述

Ascariasis of gallbladder: a rare case report and a review of the literature.

作者信息

Khanduri Sachin, Parashari Umesh C, Agrawal Deepak, Bhadury Samarjit

机构信息

Professor, Department of Radio Diagnosis, Era's Lucknow Medical College, Lucknow, India.

出版信息

Trop Doct. 2014 Jan;44(1):50-2. doi: 10.1177/0049475513512637. Epub 2013 Nov 19.

Abstract

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.

摘要

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。

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