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胆囊蛔虫病。两例报告。

Ascariasis of the gall bladder. Report of two cases.

作者信息

Dantas W, Salles C G

出版信息

G E N. 1976 Jul-Dec;31(1-2):131-7.

PMID:829874
Abstract

A radiological diagnosis of ascariasis of the gallbladder was made in two middle-aged women with high abdominal pain having biliary colic characteristics. In one case round worm was demonstrated by means of the intravenous cholangiography, but in the other the procedure was negative only the common bile duct being contrasted. Oral cholangiography made some days later permitted the visualization of the parasite in the gallbladder. The patients were treated by cholecistectomy and choledocostomy and the diagnosis was confirmed. The post-operative course was uneventful. There was Ascaris lumbricoides ova in the feces and the histological examination of the removed gallbladder showed large eosinophilic infiltration in both cases. The patients received levamisole some days after surgery.

摘要

两名患有具有胆绞痛特征的上腹部剧痛的中年女性被诊断为胆囊蛔虫病。其中一例通过静脉胆管造影显示有蛔虫,但另一例该检查结果为阴性,仅胆总管显影。数日后进行的口服胆管造影显示胆囊内有寄生虫。患者接受了胆囊切除术和胆总管切开术,诊断得到证实。术后病程顺利。粪便中有蛔虫卵,切除胆囊的组织学检查显示两例均有大量嗜酸性粒细胞浸润。患者在术后数天接受了左旋咪唑治疗。

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