Schulman A
Am J Gastroenterol. 1977 Aug;68(2):167-70.
Infestation of the bile ducts by the adult Ascaris lumbricoides roundworm is a common condition in many parts of the world. The most frequent clinical presentation is as upper abdominal colicky pain with a normal or only slightly raised serum bilirubin. In most cases these worms can be visualized by intravenous cholangiography because of the absence of obstructive jaundice and can therefore be specifically treated by nonsurgical methods. The radiographic appearance is diagnostic. This is the first report of such a case presenting in North America or the United Kingdom, where the importance of biliary ascariasis in endemic areas is not fully appreciated.
成人蛔虫寄生在胆管是世界上许多地区的常见病症。最常见的临床表现是上腹部绞痛，血清胆红素正常或仅略有升高。在大多数情况下，由于不存在梗阻性黄疸，这些蛔虫可通过静脉胆管造影显示出来，因此可以通过非手术方法进行特异性治疗。放射学表现具有诊断意义。这是北美或英国首次报告此类病例，在这些地区，胆道蛔虫病在流行地区的重要性尚未得到充分认识。
