囊虫病,发展中国家的一个重大健康问题,是由猪带虫幼虫期引起的。播散性囊虫病(DCC),其特征是囊尾蚴在各种组织中广泛分布,是罕见的,通常无症状。这里,我们报道了一名来自尼泊尔农村的50岁男子,患有远端胆管癌和累及皮肤的DCC,大脑,轨道,舌头,软腭,心,和腹部器官。尽管有腹痛,阻塞性黄疸,贫血,和显著的体重减轻-提示胆道恶性肿瘤的症状-没有典型的DCC症状。诊断成像证实DCC和保留胃的胰十二指肠切除术。壶腹周围肿块的组织病理学检查显示远端胆管癌。DCC的术后治疗包括类固醇,卡马西平,和阿苯达唑的抗寄生虫治疗。囊虫病和瘤形成的共存,虽然不常见,需要进行全面的诊断评估。此病例强调了临床复杂性,并强调了对并发疾病进行全面管理的必要性。
Cysticercosis, a major health issue in developing countries, is caused by the larval stage of Taenia solium. Disseminated cysticercosis (DCC), which is characterized by widespread cysticerci in various tissues, is rare and often asymptomatic. Here, we report the case of a 50-year-old man from rural Nepal with distal cholangiocarcinoma and DCC involving the skin, brain, orbit, tongue, soft palate, heart, and abdominal organs. Despite the presence of abdominal pain, obstructive jaundice, anemia, and significant weight loss-symptoms indicative of biliary malignancy-there were no symptoms typical of DCC. Diagnostic imaging confirmed DCC and stomach-preserving pancreaticoduodenectomy was performed. Histopathological examination of the periampullary mass revealed distal cholangiocarcinoma. Postsurgical treatment for DCC included steroids, carbamazepine, and antiparasitic therapy with albendazole. The coexistence of cysticercosis and neoplasia, though uncommon, necessitates thorough diagnostic evaluation. This case underscores the clinical complexity and highlights the need for comprehensive management of concurrent conditions.