Korean J Gastrointest Endosc > Volume 29(6); 2004 > Article
Korean Journal of Gastrointestinal Endoscopy 2004;29(6): 539-542.
담관결석과 동반된 총담관 회충 미입증 1예
영남대학교 의과대학 내과학교실, *진단검사의학교실, 경북대학교 의과대학 기생충학교실
A Case of Biliary Ascariasis Associated with a Common Bile Duct Stone
Hee Ju Oh, M.D., Tae Nyeun Kim, M.D.,Ji Yun Lee, M.D., Jae Won Choi, M.D., Kook Hyun Kim, M.D., Sang Jin Lee, M.D., Eun Ju Lee, M.D., Hyun A Oh, M.D., Hyung Chul Lee, M.D., Jun Hwan Kim, M.D., Byeong Ik Jang, M.D., Moon Kwan Chung, M.D., Chae Hoon Lee, M.
Departments of Internal Medicine and *Clinical Pathology, Yeungnam University College of Medicine, Department of Parasitology, Kyungpook National University School of Medicine, Daegu, Korea
Ascaris lumbricoides is the commonest intestinal parasite. The parasites are the most numerous intestinal parasites in less-developed countries and in areas with poor sanitation. However, it's prevalence is very low in Korea recently. A. lumbricoides produces no symptoms in most patients but sometimes it may give rise to intestinal obstruction or pancreatobiliary disease. Highly motile mature worms may enter the ampulla of Vater and migrate into the bile or pancreatic ducts and can cause cholangitis, biliary stone, cholecystitis, pancreatitis and liver abscess. The cases of biliary ascariasis are rare in Korea. We report a 59-year-old female, who presented with intermittent epigastic pain, diagnosed as biliary ascariasis associated with common bile duct stone after endoscopic retrograde cholangiopancreatography (ERCP). The common bile duct (CBD) stone was removed by sphincterotomy and lithotripsy, and then we directly removed ascaris with a basket without any complication. (Korean J Gastrointest Endosc 2004;29:539⁣542)
Key Words: Ascaris lumbricoides, Bile duct stone
주요어: 회충, 담관결석
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