胆道蛔虫病的内镜治疗：一例报告
Endoscopic management of biliary ascariasis: A case report.
作者信息
Wang Xing, Lv Yan-Lin, Cui Sheng-Nan, Zhu Chang-Hao, Li Ying, Pan Yao-Zhen
机构信息
Department of Hepatobiliary Surgery, The Affiliated Cancer Hospital of Guizhou Medical University, Guiyang 550001, Guizhou Province, China.
Graduate School, Guizhou Medical University, Guiyang 550001, Guizhou Province, China.
出版信息
World J Clin Cases. 2021 Jul 16;9(20):5695-5700. doi: 10.12998/wjcc.v9.i20.5695.
BACKGROUND
Biliary ascariasis is rare but remains the most common parasitic infection in remote areas and in people with poor medical conditions. Here, we reported a case of biliary ascariasis in order to raise awareness of possible parasitic infections.
CASE SUMMARY
A 68-year-old female was admitted to the emergency room of the Affiliated Hospital of Guizhou Medical University on 28 September 2017, with chief complaint of pain in the right upper abdomen. Ultrasonography of the abdomen showed that the upper segment of the common bile duct was slightly dilated with parallel tubular structures, indicative of biliary ascariasis. Endoscopic retrograde cholangiopancreatography was performed under general anesthesia on 29 September 2017, and an adult worm was observed. After the worm was removed from the bile duct, the patient's pain immediately subsided. The patient was successfully cured, without any complications.
CONCLUSION
This report emphasizes the need for physicians to consider biliary ascariasis as a possible cause when treating cases of biliary colic.
背景
胆道蛔虫病虽较为罕见，但仍是偏远地区及医疗条件较差人群中最常见的寄生虫感染。在此，我们报告一例胆道蛔虫病病例，以提高对可能的寄生虫感染的认识。
病例摘要
一名68岁女性于2017年9月28日入住贵州医科大学附属医院急诊室，主要诉右上腹疼痛。腹部超声显示胆总管上段轻度扩张，伴有平行管状结构，提示胆道蛔虫病。2017年9月29日在全身麻醉下进行了内镜逆行胰胆管造影，观察到一条成虫。从胆管取出蛔虫后，患者疼痛立即缓解。患者成功治愈，无任何并发症。
结论
本报告强调医生在治疗胆绞痛病例时，有必要将胆道蛔虫病视为可能的病因。
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