Korean J Gastrointest Endosc > Volume 31(5); 2005 > Article
Korean Journal of Gastrointestinal Endoscopy 2005;31(5): 348-352.
급성 췌장염으로 나타난 총담관 회충미입증 1예
변종원·김재우·최 훈·김혜정·김규홍·지명관·박용순·백순구·김현수·권상옥·김성현*
연세대학교 원주의과대학 내과학교실, *방사선학교실
A Case of Acute Pancreatitis Caused by Ascaris Invasion of the Common Bile Duct
Jong Won Byun, M.D., Jae Woo Kim, M.D., Hoon Choi, M.D., Hye Jung Kim, M.D., Kyu Hong Kim, M.D., Myeong Gwan Jee, M.D., Yong Soon Park, M.D., Soon Koo Baik, M.D., Hyun Soo Kim, M.D., Sang Ok Kwon, M.D. and Seong Hyun Kim, M.D.*
Departments of Internal Medicine, *Radiology, Yonsei University Wonju College of Medicine, Wonju, Korea
Abstract
Ascaris lumbricoides is the most common intestinal parasite in less-developed countries as well as in areas with poor sanitation. Highly motile mature worms may enter the ampulla of Vater and migrate to the bile or pancreatic ducts causing cholangitis, biliary stones, cholecystitis, pancreatitis and a liver abscess. The incidence of pancreatitis due to biliary ascariasis is relatively common in endemic areas, but only a few cases have been reported in Korea since 1990. A 68-year-old woman was admitted with a sudden onset of epigastric pain. She was diagnosed with acute pancreatits due to ascaris based on computed tomography, the ampulla- impacted state of the worm and an elevated serum amylase level. The patient recovered without complications after the ascaris had been extracted using grasp forceps during endoscopy. The patient also received antihelminthic therapy. We report this case with a review of the relevant literatures.(Korean J Gastrointest Endosc 2005;31:348⁣352)
Key Words: Biliary ascariasis, Acute pancreatitis, Ampulla of Vater
주요어: 담도 회충미입증, 급성 췌장염, 바터 팽대부
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