Delarocque Astagneau E, Hadengue A, Degott C, Vilgrain V, Erlinger S, Benhamou J P
Service d'Hépatologie, INSERM U24, Clichy, France.
Gut. 1994 May;35(5):705-6. doi: 10.1136/gut.35.5.705.
Hepatobiliary manifestations of strongyloidiasis are rare. A case is described of biliary obstruction associated with the presence of Strongyloides stercoralis in the duodenal mucosa and 250 microns rhabditiform larvae in bile. Biliary obstruction resulted from papillary stenosis, which resolved after treatment with thiabendazole. It is proposed that papillary stenosis may be responsible for obstructive jaundice associated with Strongyloides stercoralis infection, and that strongyloidiasis should be added to the causes of papillary stenosis.
类圆线虫病的肝胆表现较为罕见。本文描述了一例十二指肠黏膜存在粪类圆线虫且胆汁中有250微米杆状蚴的患者出现胆道梗阻的情况。胆道梗阻由乳头狭窄所致，经噻苯达唑治疗后梗阻解除。有人提出乳头狭窄可能是粪类圆线虫感染相关梗阻性黄疸的病因，类圆线虫病应被纳入乳头狭窄的病因之中。
