Pijls N H, Yap S H, Rosenbusch G, Prenen H
Pancreas. 1986;1(1):90-3. doi: 10.1097/00006676-198601000-00016.
A 30-year-old man returning from a trip through India complained of epigastric pain, diarrhea, loss of weight, and jaundice. Stool examination was positive for Strongyloides stercoralis. On ultrasonographic investigation, intravenous cholangiography, and endoscopic retrograde cholangiopancreaticography, stenosis of the distal common bile duct and enlargement of the pancreatic head were observed. The patient was treated for the Strongyloides infection. The jaundice disappeared within days, the laboratory finding normalized, and the patient recovered rapidly. However, the ultrasonographic examination showed a complete recovery in the course of about 2 years. From this report we conclude that in patients with obstructive jaundice and Strongyloides stercoralis infection, serious abnormalities resembling pancreatic tumour or pancreatitis can be found on ultrasonographic and radiological investigations, and this should be considered in the differential diagnosis of pancreatic mass in patients living in or returning from endemic areas.
一名30岁男子在印度旅行归来后，出现上腹部疼痛、腹泻、体重减轻和黄疸症状。粪便检查显示粪类圆线虫阳性。超声检查、静脉胆管造影和内镜逆行胰胆管造影显示，胆总管远端狭窄，胰头肿大。该患者接受了粪类圆线虫感染治疗。黄疸在数天内消失，实验室检查结果恢复正常，患者迅速康复。然而，超声检查显示在大约2年的时间里完全恢复。从本报告中我们得出结论，对于患有阻塞性黄疸和粪类圆线虫感染的患者，在超声和放射学检查中可发现类似胰腺肿瘤或胰腺炎的严重异常，在对来自流行地区或刚从流行地区返回的患者胰腺肿块进行鉴别诊断时应考虑到这一点。
