Basbous S, Hayette M P, Léonard P, Louis E, Loly J P, Detry O
Département de Gastro-Entérologie, CHU Liège, Liège Université, Belgique.
ECHINO-Liège, CHU Liège, Liège Université, Belgique.
Rev Med Liege. 2021 Jul;76(7-8):575-578.
The authors report the case of a 41-year-old patient originating from Algeria who developed obstructive cholangitis caused by the membrane of a ruptured hydatid cyst leading to the diagnosis of cystic echinococcosis. Cystic echinococcosis can be asymptomatic for several years until a complication occurs, such as in this case an obstruction of the common bile duct, or cholangio-hydatidosis. This cause of jaundice is uncommon in Western Europe whereas it is more frequent in endemic areas. Identification and treatment of ruptured cysts are mandatory because of the mortality rate of these complications if left untreated. In this particular case, the treatment by endoscopic retrograde cholangiopancreatography was successful.
作者报告了一例来自阿尔及利亚的41岁患者的病例，该患者因破裂的包虫囊肿膜引起阻塞性胆管炎，从而确诊为囊性棘球蚴病。囊性棘球蚴病可能多年无症状，直到出现并发症，如此病例中的胆总管梗阻或胆管包虫病。这种黄疸病因在西欧并不常见，而在流行地区更为常见。由于这些并发症若不治疗会有死亡率，因此识别和治疗破裂囊肿至关重要。在这个特殊病例中，内镜逆行胰胆管造影术治疗成功。
