Dinç H, Arslan M K, Gümele H R
Department of Radiology, KTU Farabi Hospital, TR-61 080 Trabzon, Turkey.
Eur Radiol. 1998;8(5):788-90. doi: 10.1007/s003300050473.
The combination of biliary ascariasis and cholangiocarcinoma is rare. A 56-year-old female presented with progressive jaundice. Ultrasonography revealed a curvilinear structure with anechoic center consistent with ascariasis within the dilated common bile duct. Ultrasonography also demonstrated that a slightly echogenic soft tissue mass projecting into the mid segment of the common bile duct proved to be coexistent cholangiocarcinoma. Percutaneous transhepatic cholangiography did not confirm the presence of worm. In this report ultrasonographic and percutaneous transhepatic cholangiographic findings of the case are described and the relative merits of these two techniques are discussed.
胆道蛔虫病与胆管癌并存的情况较为罕见。一名56岁女性出现进行性黄疸。超声检查显示，在扩张的胆总管内有一个中心无回声的曲线结构，符合蛔虫病表现。超声检查还显示，一个向胆总管中段突出的略呈回声的软组织肿块经证实为并存的胆管癌。经皮肝穿刺胆管造影未证实有蛔虫存在。本报告描述了该病例的超声和经皮肝穿刺胆管造影检查结果，并讨论了这两种技术的相对优点。
