Barkhatova N A, Peshikova M V, Shlepotina N M, Barkhatova E I, Peshikov O V
South Ural State Medical University, Chelyabinsk, Russia.
Khirurgiia (Mosk). 2022(7):71-76. doi: 10.17116/hirurgia202207171.
Ascaris lumbricoides is nematode localized in human small bowel in most cases. This nematode is capable for migration. Pancreatitis is one of the most common surgical diseases. One of the causes of this pancreatitis may be migration of Ascaris lumbricoides from small bowel through the major duodenal papilla to the pancreatic ducts. This migration is provided by complex of morphological and functional disorders of digestive system associated with this helminthiasis, as well as certain risk factors. These are previous cholecystectomy, sphincterotomy, living in endemic areas, massive Ascaris lumbricoides invasion, pregnancy. Damage of the pancreas develops due to direct mechanical effect of nematodes and allergic reactions, papillitis and functional disorders of digestive tract. Pancreatitis is usually mild, but severe course of disease is also possible. A typical symptom of pancreatitis caused by Ascaris lumbricoides is helminths in vomit and/or feces.
蛔虫大多寄生于人体小肠，这种线虫具有游走能力。胰腺炎是最常见的外科疾病之一。这种胰腺炎的病因之一可能是蛔虫从小肠经十二指肠乳头移行至胰管。这种移行是由与该蠕虫病相关的消化系统形态和功能紊乱以及某些危险因素共同作用导致的。这些因素包括既往胆囊切除术、括约肌切开术、生活在流行地区、大量蛔虫感染、妊娠。胰腺损伤是由线虫的直接机械作用、过敏反应、乳头炎和消化道功能紊乱引起的。胰腺炎通常症状较轻，但也可能病情严重。蛔虫引起的胰腺炎的典型症状是呕吐物和/或粪便中有蛔虫。
