Fernandes Darren, Munuswamy Pushpakaran, Khan Sami
Department of Gastroenterology, Lincoln County Hospital, Greetwell Road, Lincoln, UK.
Department of Gastroenterology, Basildon and Thurrock University Hospitals NHS Foundation Trust, Nethermayne, Basildon, UK.
Oxf Med Case Reports. 2018 Oct 10;2018(11):omy088. doi: 10.1093/omcr/omy088. eCollection 2018 Nov.
Biliary ascariasis is a tropical infectious disease, endemic in regions such as the Far East, Indian subcontinent and parts of the Middle East. The responsible organism is the worm. This case study presents a 54-year-old British Caucasian female patient, admitted with a 1-week history of generalized abdominal pain. Ultrasound scan of the abdomen showed a collapsed and abnormal image of the gallbladder. Further imaging for better visualization by magnetic resonance cholangiography showed a 6 cm linear structure in the gallbladder. The morphology was characteristic of gallbladder ascariasis. Detailed history revealed that 6 months ago she had travelled to Turkey. Stool cultures confirmed the presence of ascaris eggs. She was treated conservatively with a 500 mg stat dose of Mebendazole. She was followed up in 6 weeks showing complete resolution of her symptoms.
胆道蛔虫病是一种热带传染病，在远东、印度次大陆和中东部分地区流行。致病生物是蛔虫。本病例研究介绍了一名54岁的英国白人女性患者，因持续1周的全腹痛病史入院。腹部超声扫描显示胆囊图像塌陷且异常。通过磁共振胆管造影进行进一步成像以更好地观察，结果显示胆囊内有一个6厘米的线性结构。其形态符合胆囊蛔虫病的特征。详细病史显示，6个月前她去过土耳其。粪便培养证实存在蛔虫卵。她接受了500毫克甲苯咪唑单次剂量的保守治疗。6周后随访显示其症状完全缓解。
