背景技术包虫病是亚洲许多地区常见的寄生虫感染。南美洲,和非洲。它可以影响任何器官,最常见的是肝脏。包虫通常无症状,并且在出现并发症时进行诊断。这种疾病最常见的并发症是胆管开放,这是一种危及生命的疾病,会导致严重的急性胆管炎。我们报告一例由包虫囊肿破裂进入右胆管引起的急性胆管炎。案例报告一个33岁的女人,没有病史或手术史,因为腹痛被送到急诊科,黄疸,入院前3天发烧。患者血流动力学稳定。在考试中,我们注意到右上象限的压痛,巩膜,和墨菲的负号。CT扫描显示第4节和第8节的肝包虫囊肿,肝内和肝外胆管扩张。囊肿通过大瘘管与右肝胆管相通。诊断为急性胆管炎,并接受了保守治疗,通过胆管外引流囊腔。术后过程简单,15天后出院。结论必须根据囊肿的具体特征和相关并发症来定制肝包虫的手术方法。急性包虫胆管炎是包虫囊肿的一种罕见但严重的并发症,这需要早期诊断和适当的手术管理。
BACKGROUND Hydatid disease is a common parasitic infection in many areas of Asia, South America, and Africa. It can affect any organ, most commonly the liver. The hydatid is often asymptomatic and the diagnosis is made when complications arise. The most common complication of this disease is opening in the bile ducts, which is a life-threatening condition causing serious acute
cholangitis. We report a
case of acute
cholangitis caused by hydatid cyst rupture into the right bile duct.
CASE REPORT A 33-year-old woman, with no medical or surgical history, presented to our Emergency Department with abdominal pain, jaundice, and fever for 3 days prior to admission. The patient was hemodynamically stable. In the examination, we noticed right upper-quadrant tenderness with guarding, icterus sclera, and negative Murphy sign. A CT scan showed a liver hydatid cyst of the 4th and 8th of segments, with intrahepatic and extrahepatic biliary duct dilation. The cyst communicated with the right hepatic bile duct via a large fistula. A diagnosis of acute
cholangitis was made and she underwent conservative treatment with external drainage of the pericystic cavity through the biliary duct. The postoperative course was uncomplicated and she was discharged 15 days later. CONCLUSIONS The surgical approach to hepatic hydatid must be customized based on the specific characteristics of the cyst and associated complications. Acute hydatid
cholangitis is a rare but serious complication of a hydatid cyst, which requires early diagnosis and adequate surgical management.