Maroy B, Moullot P, Daloubeix H, Mathey J C
Ann Gastroenterol Hepatol (Paris). 1987 Mar-Apr;23(2):67-70.
A 43 years old man presented with acute pancreatitis following 13 years of mild grade hepatic colitis and angiocholitis. The absence of visible gall stone evocated the possibility of millithiasis. The operation discovered a big and hard head of the pancreas and an hypertrophied choledocal mucous membrane and the microscopic analysis of bladder's bile, ova of Fasciola hepatica. A control opacification on the 7th day revealed an adult fluke and a small diverticulum which were not visible on the roentgenogram at the time of the operation. Seven infusions of 60 mg de dehydroemetin permitted to eliminate the fluke with only a peak of fever. The diagnostic, pathophysiologic and therapeutic implications are discussed.
一名43岁男性，在患有轻度肝结肠炎和胆管炎13年后出现急性胰腺炎。未发现可见胆结石提示存在微小结石的可能性。手术发现胰腺头部肿大且坚硬，胆总管黏膜肥厚，对胆汁进行显微镜分析发现肝片吸虫卵。术后第7天的对照造影显示有一条成虫和一个小憩室，手术时在X线片上未发现。七次输注60毫克去氢依米丁使吸虫得以清除，仅出现一次发热高峰。本文讨论了其诊断、病理生理及治疗意义。
