Hepatobiliary strongyloidiasis presenting as an ampullary lesion on esophagogastroduodenoscopy/endoscopic ultrasound  

肝胆管类圆虫病表现为食管胃十二指肠镜和超声内镜下的壶腹病变

作　　者：Emmanuel Ofori Daryl Ramai Alisha Khan Philip Xiao Madhavi Reddy Ghulamullah Shahzad 

机构地区：[1]Division of Gastroenterology and Hepatology,The Brooklyn Hospital Center,Academic Affiliate of The Icahn School of Medicine at Mount Sinai,Clinical Affiliate of The Mount Sinai Hospital,Brooklyn,NY 11201,USA [2]St.George’s University School of Medicine,True Blue,Grenada,WI [3]Department of Pathology,The Brooklyn Hospital Center,Academic Affiliate of The Icahn School of Medicine at Mount Sinai,Clinical Affiliate of The Mount Sinai Hospital,Brooklyn,NY 11201,USA

出　　处：《Gastroenterology Report》2019年第5期367-370,I0003,共5页胃肠病学报道（英文）

摘　　要：Strongyloidiasis is an intestinal infection caused by the parasitic nematodes of the Strongyloides species,most commonly Strongyloides stercoralis.We report a case of a 66-year-old immigrant male from Haiti who presented with complaints of diarrhea and an unintentional 80-lb weight loss over the past 5 years.Stool examination was positive for strongyloidiasis.Following albendazole therapy,esophagogastroduodenoscopy(EGD)showed a unique ampullary lesion.Histopathology of the ampullary lesion showed reactive epithelium with Strongyloides larva.In addition,endoscopic ultrasound(EUS)detected a large pancreatic cyst.Both these findings were absent on EGD 5 years previously,prior to the onset of his symptoms.This paper documents a rare case of an ampullary lesion and pancreatic cyst secondary to hepatobiliary strongyloidiasis in a non-Human Immunodeficiency Virus(HIV)patient.We review the epidemiology,life cycle,clinical presentation and treatment of strongyloidiasis.

关 键 词：STRONGYLOIDIASIS Strongyloides stercoralis ampulla of Vater pancreatic cyst HEPATOBILIARY ENDOSCOPY 

分 类 号：R656[医药卫生—外科学]