Poudel Bibek, Dahal Aaryan, Rayamajhi Aadesh, Ghimire Prasoon, Roy Akash, Paudel Sujan, Luitel Prajjwol
Maharajgunj Medical Campus, Tribhuvan University, Institute of Medicine, Kathmandu, Nepal.
Department of Radiology, Tribhuvan University Teaching Hospital, Kathmandu, Nepal.
Radiol Case Rep. 2024 Aug 17;19(11):4955-4962. doi: 10.1016/j.radcr.2024.07.112. eCollection 2024 Nov.
Cysticercosis, a major health issue in developing countries, is caused by the larval stage of . Disseminated cysticercosis (DCC), which is characterized by widespread cysticerci in various tissues, is rare and often asymptomatic. Here, we report the case of a 50-year-old man from rural Nepal with distal cholangiocarcinoma and DCC involving the skin, brain, orbit, tongue, soft palate, heart, and abdominal organs. Despite the presence of abdominal pain, obstructive jaundice, anemia, and significant weight loss-symptoms indicative of biliary malignancy-there were no symptoms typical of DCC. Diagnostic imaging confirmed DCC and stomach-preserving pancreaticoduodenectomy was performed. Histopathological examination of the periampullary mass revealed distal cholangiocarcinoma. Postsurgical treatment for DCC included steroids, carbamazepine, and antiparasitic therapy with albendazole. The coexistence of cysticercosis and neoplasia, though uncommon, necessitates thorough diagnostic evaluation. This case underscores the clinical complexity and highlights the need for comprehensive management of concurrent conditions.
囊尾蚴病是发展中国家的一个主要健康问题，由猪带绦虫的幼虫阶段引起。播散性囊尾蚴病（DCC）的特征是囊尾蚴广泛存在于各种组织中，较为罕见且通常无症状。在此，我们报告一例来自尼泊尔农村的50岁男性病例，该患者患有远端胆管癌并伴有累及皮肤、脑、眼眶、舌、软腭、心脏和腹部器官的播散性囊尾蚴病。尽管存在腹痛、梗阻性黄疸、贫血和显著体重减轻等提示胆道恶性肿瘤的症状，但并无播散性囊尾蚴病的典型症状。诊断性影像学检查确诊为播散性囊尾蚴病，并实施了保留胃的胰十二指肠切除术。壶腹周围肿块的组织病理学检查显示为远端胆管癌。播散性囊尾蚴病的术后治疗包括使用类固醇、卡马西平和阿苯达唑进行抗寄生虫治疗。囊尾蚴病与肿瘤并存虽不常见，但需要进行全面的诊断评估。该病例强调了临床复杂性，并突出了对并发疾病进行综合管理的必要性。
