[肝包虫囊肿与主胆管形成瘘管并发胆管炎：两例报告]

[Angiocholitis on hepatic hydatid cyst fistulised in the main bile duct: two case reports].

作者信息

Delsa Hanane, Benslima Najwa, Rahmouni Imane, Cherouaqi Yasmine, Benfaida Amine, Maane Leila Abdallaoui, Jaouad Mohamed Reda Cherkaoui, Belabbes Fatima, Nadi Anass, Rouibaa Fedoua

机构信息

Service de Gastroentérologie, Hôpital Cheikh Khalifa, Casablanca, Maroc.

Faculté de Médecine, Université Mohammed VI des Sciences de la Santé (UM6SS), Casablanca, Maroc.

出版信息

Pan Afr Med J. 2022 May 23;42:62. doi: 10.11604/pamj.2022.42.62.30130. eCollection 2022.

DOI:10.11604/pamj.2022.42.62.30130

PMID:35949481

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9338722/

Abstract

Hydatid cyst is a zoonosis that frequently affects the liver, which is endemic in several countries such as Morocco. The hepatic hydatidosis can be complicated by angiocholitis, currently, the treatment of choice is endoscopic retrograde cholangio-pancreatography with sphincterotomy. We report two clinical cases of angiocholitis on hepatic hydatid cyst fistulised in the main bile duct which were treated endoscopically with a favourable outcome. Early diagnosis and adequate management can improve the prognosis of these patients.

摘要

肝包虫囊肿是一种人畜共患病，常累及肝脏，在摩洛哥等多个国家呈地方性流行。肝包虫病可并发胆管炎，目前，首选的治疗方法是内镜逆行胰胆管造影术并括约肌切开术。我们报告了两例主胆管瘘的肝包虫囊肿并发胆管炎的临床病例，通过内镜治疗取得了良好效果。早期诊断和适当处理可改善这些患者的预后。