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蛔虫感染致胆囊穿孔合并胆总管胃瘘1例报告

Gallbladder Perforation with Choledochogastric Fistula Due to Ascaris Infestation, a Case Report.

作者信息

Amsalu Ashenafi, Molla Yohannis

机构信息

Department of Surgery, University of Gondar, College of Medicine and Health Sciences, Gondar, Ethiopia.

出版信息

Int Med Case Rep J. 2023 Aug 2;16:443-447. doi: 10.2147/IMCRJ.S421611. eCollection 2023.

DOI:10.2147/IMCRJ.S421611
PMID:37551359
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10404425/
Abstract

We present a case of a 35-year-old Ethiopian female patient presented with right upper quadrant abdominal pain. Studies suspected gallbladder disease, for which she operated. Intraoperatively, gallbladder perforation with choledochogastric fistula was identified, with (AL) worm in the common bile duct. Cholecystectomy was performed; common bile was repaired with T-tube and gastric repair. Patient was discharged 11 days after. On subsequent follow-up at the surgical referral clinic, the patient had no complaints.

摘要

我们报告一例35岁的埃塞俄比亚女性患者,她因右上腹疼痛前来就诊。检查怀疑患有胆囊疾病,遂接受手术治疗。术中发现胆囊穿孔并伴有胆总管胃瘘,胆总管内有(AL)虫。实施了胆囊切除术;用T形管修复胆总管并修补胃部。患者术后11天出院。在外科转诊诊所的后续随访中,患者无任何不适主诉。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5706/10404425/ec9acf28228e/IMCRJ-16-443-g0001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5706/10404425/ec9acf28228e/IMCRJ-16-443-g0001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5706/10404425/ec9acf28228e/IMCRJ-16-443-g0001.jpg

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本文引用的文献

1
Gallbladder perforation with fistulous communication.胆囊穿孔伴瘘管形成。
World J Gastrointest Surg. 2023 Jun 27;15(6):1191-1201. doi: 10.4240/wjgs.v15.i6.1191.
2
An Overview of Ascariasis Involvement in Gallbladder Disease: A Systematic Review of Case Reports.蛔虫病与胆囊疾病关系概述:病例报告的系统评价
Cureus. 2022 Dec 15;14(12):e32545. doi: 10.7759/cureus.32545. eCollection 2022 Dec.
3
Hepatobiliary and Pancreatic Duct Ascariasis: An Unusual Cause of Obstructive Jaundice and Severe Acute Cholangitis.肝胆胰管蛔虫病:梗阻性黄疸和严重急性胆管炎的罕见病因。
Int Med Case Rep J. 2022 Jun 11;15:281-286. doi: 10.2147/IMCRJ.S369442. eCollection 2022.
4
Gallbladder Perforation Due to in a Pregnant Woman and 6 Year Old Girl from Afghanistan: Case Report.一名来自阿富汗的孕妇和一名6岁女孩因[未提及具体病因]导致胆囊穿孔:病例报告
Iran J Parasitol. 2019 Jul-Sep;14(3):477-481.
5
Ascaridial Volvulus: An Uncommon Cause of Ileal Perforation.蛔虫性肠扭转:回肠穿孔的罕见原因。
Iran J Med Sci. 2018 Jul;43(4):432-435.
6
Biliary ascariasis presenting with gangrenous perforation of the gall bladder: report of a case and brief review of literature.胆囊坏疽穿孔性胆道蛔虫病:一例报告及文献简要回顾
Trop Doct. 2018 Jul;48(3):242-245. doi: 10.1177/0049475518768103. Epub 2018 Apr 13.
7
HEPATOBILIARY ASCARIASIS COMPLICATED BY PANCREATITIS.并发胰腺炎的肝胆蛔虫病
J Ayub Med Coll Abbottabad. 2015 Apr-Jun;27(2):479-81.
8
Ascaris lumbricoides: an unusual aetiology of gastric perforation.蛔虫:胃穿孔的一种罕见病因。
J Surg Case Rep. 2012 Dec 4;2012(11):rjs008. doi: 10.1093/jscr/rjs008.
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Acute jejunal gangrene with perforation due to Ascaris lumbricoides.
Trop Gastroenterol. 2012 Jan-Mar;33(1):85-6. doi: 10.7869/tg.2012.21.
10
Ascariasis in the hepatobiliary system: laparoscopic management.肝胆系统蛔虫病:腹腔镜治疗
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