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伊朗西北部阿尔达比勒地区内镜逆行胰胆管造影术（ERCP）诊断及治疗肝片吸虫感染：两例报告

Diagnosis and Treatment of Fasciola Infection with Endoscopic Retrograde Cholangiopancreatography (ERCP) in Ardabil, Northwest of Iran: Two Case Reports.

作者信息

Asfaram Shabnam, Sajedi Behnam, Mohammadi-Ghalehbin Behnam

机构信息

Zoonoses Research Center, Ardabil University of Medical Sciences, Ardabil, Iran.

Department of Internal Medicine, School of Medicine, Imam Khomeini Hospital, Ardabil University of Medical Sciences, Ardabil, Iran.

出版信息

Iran J Parasitol. 2024 Apr-Jun;19(2):255-259. doi: 10.18502/ijpa.v19i2.15861.

DOI:10.18502/ijpa.v19i2.15861
PMID:39011529
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11246209/
Abstract

Here we report biliary fascioliasis in two women 27 and 54 years old from Ardabil Province, Iran who presented with nausea, anorexia, weight loss, and pain between shoulder blades. Endoscopic ultrasound showed distal common bile duct strictures (CBD) and a lesion in its proximal. Endoscopic retrograde cholangiopancreatography (ERCP) was performed and live parasites were diagnosed and successfully managed into the duodenal lumen. The clinical findings of the patient improved after the procedure. This report emphasizes that the prevalence of in Ardabil is predictable and this infection could be simultaneously diagnosed and treated by the ERCP.

摘要

在此，我们报告了两名来自伊朗阿尔达比勒省的女性胆管片形吸虫病病例，她们分别为27岁和54岁，表现出恶心、厌食、体重减轻以及肩胛骨之间疼痛。内镜超声显示胆总管远端狭窄（CBD）及其近端有一个病变。进行了内镜逆行胰胆管造影（ERCP），诊断出活寄生虫，并成功将其排入十二指肠腔。术后患者的临床症状有所改善。本报告强调，阿尔达比勒省这种疾病的患病率是可预测的，并且这种感染可以通过ERCP同时进行诊断和治疗。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6d3d/11246209/62e107fe5570/IJPA-19-255-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6d3d/11246209/24e9ff7b0064/IJPA-19-255-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6d3d/11246209/62e107fe5570/IJPA-19-255-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6d3d/11246209/24e9ff7b0064/IJPA-19-255-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6d3d/11246209/62e107fe5570/IJPA-19-255-g002.jpg

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Diagnosis and Treatment of Fasciola Infection with Endoscopic Retrograde Cholangiopancreatography (ERCP) in Ardabil, Northwest of Iran: Two Case Reports.伊朗西北部阿尔达比勒地区内镜逆行胰胆管造影术（ERCP）诊断及治疗肝片吸虫感染：两例报告
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本文引用的文献

1
Diagnosis and Treatment of Fasciola Hepatica With Endoscopic Retrograde Cholangiopancreatography in a Child Patient: Case Report.儿童患者肝片吸虫病的内镜逆行胰胆管造影诊断与治疗：病例报告
Cureus. 2020 Sep 16;12(9):e10486. doi: 10.7759/cureus.10486.
2
Clinical practice guideline for post-ERCP pancreatitis.经内镜逆行胰胆管造影术后胰腺炎临床实践指南。
J Gastroenterol. 2017 Sep;52(9):1013-1022. doi: 10.1007/s00535-017-1359-5. Epub 2017 Jun 26.
3
Three Living Fasciola Hepatica in the Biliary Tract of a Woman.一名女性胆道内的三条活肝片吸虫
Iran J Med Sci. 2015 Sep;40(5):465-8.
4
Liver fluke vaccines in ruminants: strategies, progress and future opportunities.反刍动物的肝吸虫疫苗：策略、进展与未来机遇
Int J Parasitol. 2014 Oct 15;44(12):915-27. doi: 10.1016/j.ijpara.2014.07.011. Epub 2014 Sep 6.
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Techniques for the diagnosis of Fasciola infections in animals: room for improvement.动物华支睾吸虫感染的诊断技术：仍有改进空间。
Adv Parasitol. 2014;85:65-107. doi: 10.1016/B978-0-12-800182-0.00002-7.
6
Neurological and ocular fascioliasis in humans.人体神经眼裂头蚴病。
Adv Parasitol. 2014;84:27-149. doi: 10.1016/B978-0-12-800099-1.00002-8.
7
Extra-hepatic fascioliasis with peritoneal malignancy tumor feature.具有腹膜恶性肿瘤特征的肝外肝片吸虫病。
J Parasit Dis. 2012 Apr;36(1):78-80. doi: 10.1007/s12639-011-0086-8. Epub 2011 Dec 8.
8
Living Fasciola hepatica in biliary tree: a case report.肝片形吸虫寄生在胆管内：1 例报告。
Ann Hepatol. 2012 May-Jun;11(3):395-8.
9
Clinical presentation and management of Fasciola hepatica infection: single-center experience.肝片形吸虫感染的临床表现和治疗：单中心经验。
World J Gastroenterol. 2011 Nov 28;17(44):4899-904. doi: 10.3748/wjg.v17.i44.4899.
10
Fascioliasis: a report of five cases presenting with common bile duct obstruction.肝片吸虫病：5例以胆总管梗阻为表现的病例报告。
Neth J Med. 2006 Jan;64(1):17-9.