筋膜,也被称为巨大的肠吸虫,是人畜共患吸虫寄生虫最大的肠吸虫,主要在东南亚国家发现,包括中国。筋膜感染以前是许多国家常见的健康问题,但现在很少见了.通常,它可以通过口服药物治愈,但是一些感染患者需要手术干预,因为他们的病情的严重程度或由于诊断不清楚甚至误诊。这里,我们报道了一个来自贵州省的15岁女孩,中国,表现为复发性中上腹痛,误诊为胆总管囊肿。通过开腹手术结合术后组织病理学检查,疼痛的来源被证明是F.buski感染引起的机械性胆道梗阻。在过去,机械阻塞,尤其是胆道梗阻,由F.buski感染引起的手术并不少见,但这在现代社会是非常罕见的。此外,寄生虫感染的延误治疗和误诊会导致严重的后果。因此,我们回顾了以前关于通过外科手术治疗F.buski感染的文献,并总结了这些病例的特点和治疗策略,以提高临床医生对这种罕见感染的认识。
Fasciolopsis buski, also called the giant intestinal fluke, is the largest intestinal fluke of the zoonotic trematode parasites and found mainly in Southeast Asian countries, including China. Fasciolopsis buski infection was formerly a common health problem in many countries, but it is now rare. Typically, it can be cured by oral drugs, but some infected patients need surgical intervention because of the severity of their condition or because of an unclear diagnosis or even misdiagnosis. Here, we report a
case of a 15-year-old girl from Guizhou Province, China, presenting with recurrent upper-middle abdominal pain that was misdiagnosed as a choledochal cyst. Through laparotomy combined with postoperative histopathological examination, the source of the pain was proven to be mechanical biliary obstruction caused by F. buski infection. In the past, mechanical obstruction, especially biliary obstruction, caused by F. buski infection leading to surgery was not uncommon, but it is very rare in modern society. Moreover, delayed treatment and misdiagnosis of parasitic infection can lead to severe consequences. Therefore, we reviewed the previous literature on F. buski infection treated by surgical operation and summarized the characteristics and therapeutic strategies of these cases to raise clinicians\' awareness of this rare infection.