超声诊断胆囊内蛔虫一例

胆道蛔虫症是临床上常见的急腹症之一，超声检查对其诊断准确率高达95％以上。但近年来，随着生活水平的提高，胆道蛔虫症越来越少。现将超声诊断胆囊内活体蛔虫一例报告如下。

超声诊断胆囊内蛔虫1例

患者女，63岁，因右上腹剧痛3d来我院就诊，患者自述3d前突发右上腹剧烈疼痛，呈间歇性突发突止，曾自服去痛片数粒效果不明显。体格检查：右上腹胆囊区轻度压痛，余无明显阳性体征。超声检查：肝、脾、肾未见明显异常，胆囊大小正常，壁厚约4mm，欠光滑，于囊内可见一宽约5mm的带状强回声呈“S”形盘曲，静观无蠕动等变化，随体位改变其形态发生变化，后无，靠影,其内未见异常血流信号；胆总管内径略增宽（图1）。

寄生虫病

960131胆道蛔虫致房颤2例/毛柏林刀安徽医学一1995,16(3)一63 男女各1例,年龄14、18岁。均因右上腹阵发性疼痛人院。体检:低热,心率:150一136步了分,心律绝对不齐,心音强弱不等。右上腹压痛(+),莫菲氏征(+)。B超示:胆囊内蛔虫。

Eosinophilic cholecystitis as a rare manifestation of visceral larva migrans

Eosinophilic cholecystitis is an infrequent form of cholecystitis. The etiology of eosinophilic cholecystitis is still obscure, and it is sometimes accompanied with several complications, but a simultaneous onset with pericarditis is very rare. We would like to make an alternative interpretation of our recent report "Kaji K, Yoshiji H, Yoshikawa M, Yamazaki M, Ikenaka Y, Noguchi R, Sawai M, Ishikawa M, Mashitani T, Kitade M, Kawaratani H, Uemura M, Yamao J, Fujimoto M, Mitoro A, Toyohara M, Yoshida M, Fukui H. Eosinophilic cholecystitis along with pericarditis caused by Ascaris lumbricoides: A case report. World J Gastroenterol 2007; 13: 3760-3762."