胆道糞線虫症の1例

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  • A CASE OF BILIARY STRONGYLOIDIASIS

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A case of biliary strongyloidiasis is reported with a review of the literature.<br>A 42-year-old female who had lived in Okinawa prefecture until the age of 17 was admitted under the diagnosis of acute cholecystitis with abscess formation. She underwent cholecystectomy, external choledochostomy using a T-tube and drainage procedure of the abscess. Diagnosis of biliary stronglyloidiasis was made by detection of eggs, female imagines and rhabditiform larvae of Stronglyoides stercoralis in the bile collected through the T-tube. Although the bile duct stricture with irregular mucosal surface remained over the 40th postoperative day, administration of thiabendzole resulted in remarkable improvement of the stricture with normalized serum level of alkaline phosphatase. She was found to be a carrier of ATL by serological examination, not presenting as overt ATL. This case is very interesting in that bile duct stricture was found at the site where heterotopic metabiosis was found; vermicidal effect could be directly observed by bile examination; and the patient was a carrier of ATL.

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