Nadir görülen bir akut kolesistit nedeni; Askariyazis

Year 2018, Volume: 10 Issue: 4, 534 - 536, 01.12.2018

Arzu Boztaş Hakan Buluş Alper Yavuz Ahmet Murat Koyuncu

https://doi.org/10.21601/ortadogutipdergisi.354521

Abstract

Askariyazis erkek erişkinlerde yaygın görülen helmitik bir
enfestasyondur. İntestinal ve safra kanalı askariyazisi yaygın olarak
görülmesine rağmen, safra kesesi içerisinde çok nadir görülmektedir. Safra
kesesi askariyazisi genellikle akalkülöz kolesistit ( subfebril ateş, sağ üst
kadranda kolik tarzında ağrı, hassasiyet ) bulguları ile kendini belli eden bir
antitedir. Ultrasonografik değerlendirmede safra kesesi duvarında hafif
kalınlaşma ve lümen içerisinde tortiyöz kalıntı şeklinde görüntülenmektedir.
Biz safra kesesinde polip ya da çamur nedeniyle akut kolesistit kliniği ile laparaskopik
kolesistektomi uygulanan, daha sonra histopatolojik değerlendirmede safra
kesesi askariyazisine rastlanan 37 yaşında erkek bir olguyu sunduk.

Keywords

Askariyazis, kolesistit

Ascariasis cholecystitis: an unusual cause

Abstract

Ascariasis is common helmintic infestation in adult man. It is
rare in gallbladder (GB) despite it is common in intestinal and biliary tract.
Ascariasis in the GB is an entity that generally presented with acalculous
cholecystitis symptoms ( low grade fever, right upper abdominal colic and
tenderness ). Ultrasonographic evaluation showes that thick GB wall and
intrsluminal tartarus. We present a case, which is 37 year old man underwent a
laparoscopic cholecystectomy for a polyp in the GB. Histopathological
examination showed us an ascariasis in the GB.   

Keywords

Ascariasis, cholecystitis

References

• Khuroo MS, 0 Zargar SA. Biliary Ascariasis: A Common cause of biliary and pancreatic disease in an endemic area. Gastroentrology 1985;88:418-23. Rode H, Cullis S, Millar A, Cremin B, Cywes S (1990) Abdominal complications of ascaris lumbricoides in children. Pediatr Surg Int 5: 397–401.
• Khuroo MS, Zargar SA, Mahajan R. Hepatobiliary and pancreatic ascariasis in India. Lancet 1990;335:1503-6.
• Gabaldon A, Mofidi C, Morishita K, et al. Control of Ascariasis. Report of WHO expert Committee. World Health Organ. Tech, Report Ser 1967;379:6-7. Thomas PG, Ravindra KV. Amoebiasis and biliary infection. In: Blumgart LH. Fong Y, editors. Surgery of the liver and biliary tract. 3 rd ed. New York: W.B. Saunders Imprint-Elsevier Science; 2001. p. 1161-5.
• Shah OJ, Dar MA, Wan NA, Robbani I, Zargar SA. Biliary ascariasis as a cause of post-cholecystectomy syndrome in an endemic area. Dig Surg 2004;21:108-13.
• Ng KK, Wong HF, Kong MS, Chiu LC, Tan CF, Wan YL. Biliary ascariasis: CT, MR cholangiopancreatography, and navigator endoscopic appearance-report of a case of acute biliary obstruction. Abdom Imaging 1999;24:470-2.
• Khuroo MS, Zargar SA (1985) Biliary ascariasis: a common cause of biliary and pancreatic disease in an endemic area. Gastroentrology 88:418–423.
• Hardman JG, Limbird LE, Gilman AG (eds) (2002) Goodman and Gilman’s the pharmacological basis of therapeutics, 10th edn.McGraw-Hill, New York, pp 1122–1137. Yoshihara S, Toyoki Y, Takahashi O, Sasaki M. Laparoscopic treatment for biliary ascariasis. Surg Laparosc Endosc Percutan Tech 2000;10: 103-5.