Larrubia J R, Ladero J M, Mendoza J L, Morillas J D, Diaz-Rubio M
Gastroenterology Division, Complutense University of Madrid, Spain.
J Clin Gastroenterol. 1996 Jan;22(1):48-50. doi: 10.1097/00004836-199601000-00014.
Acute pancreatitis due to ascaris lumbricoides infestation is extraordinarily uncommon in Europe. The diagnosis can be difficult because of the low index of suspicion in our area, and this may lead to death. The case of a Columbian patient living in Spain who developed an acute pancreatitis is discussed. He had no history of alcohol abuse, gallstones, or drug abuse. The sonography showed a longitudinal structure with inner parallel linear bands and undulant movements inside the gallbladder and a hypoechogenic pancreas. These features are compatible with acute pancreatitis secondary to Ascaris lumbricoides infestation. The patient was treated with mebendazole and his evolution was excellent. Sonography was useful as an assessment modality during follow-up. We conclude that Ascaris lumbricoides should be recalled as a rare cause of acute pancreatitis in Western countries. Sonography allows early diagnosis and prompt treatment.
欧洲因蛔虫感染导致的急性胰腺炎极为罕见。由于我们地区对此病的怀疑指数较低，诊断可能会很困难，这可能会导致死亡。本文讨论了一名居住在西班牙的哥伦比亚患者发生急性胰腺炎的病例。他没有酗酒、胆结石或药物滥用史。超声检查显示胆囊内有纵向结构，内部有平行的线性带和波动运动，胰腺回声减低。这些特征与蛔虫感染继发的急性胰腺炎相符。该患者接受了甲苯咪唑治疗，病情进展良好。超声检查作为随访期间的评估方式很有用。我们得出结论，在西方国家，蛔虫应被视为急性胰腺炎的罕见病因。超声检查有助于早期诊断和及时治疗。
