Lwin M, Tint K S
Department of Surgery, School of Medical Sciences, University Science Malaysia.
J R Coll Surg Edinb. 1994 Aug;39(4):243-5.
Twenty-seven cases of ascaris cholecystitis and cholangitis were managed in a surgical unit of a general hospital in Yangon, Myanmar, from January 1989 to March 1990. Nineteen women and eight men with a mean age of 42 years were studied. Main clinical manifestations were right hypochondrial pain, fever, chills, rigors, nausea, vomiting and jaundice. Diagnosis was established by abdominal ultrasonograms in all cases. Laparotomy was performed in all cases because of failure to respond to initial conservative treatment. Live and dead ascarids were found in the gall bladder and biliary ductal system. Cholecystectomy, bile duct exploration, worm extraction and T-tube drainage were done in all cases. There were no deaths. Two patients developed minor wound sepsis. During the follow-up period ranging from 3 to 12 months, there was no recurrence of symptoms in all patients. All patients were given antihelminthics before discharge and three weeks later.
1989年1月至1990年3月期间，缅甸仰光一家综合医院的外科处理了27例蛔虫性胆囊炎和胆管炎病例。研究对象为19名女性和8名男性，平均年龄42岁。主要临床表现为右季肋部疼痛、发热、寒战、 rigor（此处可能有误，推测可能是“rigors”，译为“恶寒”）、恶心、呕吐和黄疸。所有病例均通过腹部超声检查确诊。由于初始保守治疗无效，所有病例均进行了剖腹手术。在胆囊和胆管系统中发现了活的和死的蛔虫。所有病例均进行了胆囊切除术、胆管探查、取虫和T管引流。无死亡病例。2例患者出现轻微伤口感染。在3至12个月的随访期内，所有患者均无症状复发。所有患者在出院前和三周后均接受了抗蠕虫药治疗。
