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

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