Lohala Nita, Gurung Ram Bahadur, Bhattarai Ram, Lama Anjila
Kathmandu University School of Medical Sciences, Dhulikhel, Kavre.
Department of Internal Medicine, Dhulikhel Hospital, Dhulikhel, Kavre.
JNMA J Nepal Med Assoc. 2019 Sep-Oct;57(219):371-372. doi: 10.31729/jnma.4612.
Ascariasis is a frequent human gastrointestinal tract helminthic disease caused by Ascaris lumbricoide. It usually stays in the intestinal lumen and occasionally migrates into the biliary tract through ampulla of Vater .Biliary ascariasis is a critical complication of intestinal ascariasis with life-threatening manifestations .We report a case of a-38 year-old lady who presented with colicky type epigastric pain radiating to back with diffuse tenderness over abdomen on examination. Ultrasonography abdomen showed linear echogenic structure in common bile duct .Biliary ascariasis was noted on Endoscopic Retrograde CholangioPancreaticography following which extraction was done .Our report highlights the varied clinical features of biliary ascariasis. Keywords: ascariasis; ascaris lumbricoides; cholangiopancreatography endoscopic retrograde; common bile duct.
蛔虫病是由似蚓蛔线虫引起的常见的人类胃肠道蠕虫病。它通常寄生于肠腔，偶尔通过十二指肠乳头迁移至胆道。胆道蛔虫病是肠道蛔虫病的一种严重并发症，可出现危及生命的表现。我们报告一例38岁女性病例，该患者表现为绞痛型上腹部疼痛，并向后背部放射，检查时腹部有弥漫性压痛。腹部超声显示胆总管内有线状回声结构。经内镜逆行胰胆管造影检查发现胆道蛔虫病，随后进行了取出操作。我们的报告强调了胆道蛔虫病多样的临床特征。关键词：蛔虫病；似蚓蛔线虫；内镜逆行胰胆管造影术；胆总管
