Misra S P, Dwivedi M
Dept. of Gastroenterology, M. L. N. Medical College, Alahabad, India.
Endoscopy. 1996 Sep;28(7):629-32. doi: 10.1055/s-2007-1005560.
Five patients with gastrointestinal tract and pancreatobiliary ascariasis presenting as emergency cases are reported here. Two patients presented with hematemesis due to gastric ascariasis, one with abdominal pain due to duodenal ascariasis, and one each with biliary and pancreatic ascariasis manifesting as acute cholangitis and acute pancreatitis, respectively. Endoscopy-assisted management consisted of roundworm removal using a Dormia basket, insertion of a biliary endoprosthesis, and carrying out endoscopic sphincterotomy alone or in combination, and was successful in all cases, with administration of albendazole. The condition of all the patients improved, and they have been asymptomatic on follow-up (2-12 months).
本文报告了5例以急症形式出现的胃肠道及胰胆蛔虫病患者。2例因胃蛔虫病出现呕血，1例因十二指肠蛔虫病出现腹痛，1例胆管蛔虫病和1例胰腺蛔虫病分别表现为急性胆管炎和急性胰腺炎。内镜辅助治疗包括使用多尔米亚篮取出蛔虫、插入胆管内支架以及单独或联合进行内镜括约肌切开术，所有病例均成功，同时给予阿苯达唑。所有患者的病情均有改善，随访（2 - 12个月）期间均无症状。
