Silva Carolina, Gonçalves Inês C, Neves Sara, Ferreira Diana C, Valdoleiros Sofia R
Infectious Diseases, Centro Hospitalar Universitário do Porto, Porto, PRT.
Family Medicine, Unidade de Cuidados de Saúde Personalizados Fragoso, Barcelos, PRT.
Cureus. 2023 Jan 10;15(1):e33599. doi: 10.7759/cureus.33599. eCollection 2023 Jan.
Biliary ascariasis is rare in non-endemic areas. This infection is associated with severe complications of the biliary tract, which can become a medical emergency. Treatment with oral anthelmintics is often effective, but, in some cases, surgery is required. We describe an unusual case of ultrasound diagnosis of biliary ascariasis in the gallbladder in a patient who, besides residing in a low-prevalence area of the infection, did not present with biliary tract manifestations. We intend to raise awareness of this clinical entity in non-endemic areas, where this diagnosis is not usually considered. A brief review of the subject is also presented.
胆道蛔虫病在非流行地区较为罕见。这种感染与胆道的严重并发症相关,可发展为医疗急症。口服驱虫药治疗通常有效,但在某些情况下需要进行手术。我们描述了一例在胆囊中超声诊断为胆道蛔虫病的不寻常病例,该患者除居住在该感染低流行地区外,并无胆道系统表现。我们旨在提高非流行地区对这种临床病症的认识,在这些地区通常不会考虑这种诊断。本文还对该主题进行了简要综述。