Acute Acalculous Cholecystitis Caused by Giardia lamblia
| Autor: | Issei Kojima, Shuya Shimizu, Takanori Suzuki, Hiroshi Kanie, Kazuhiro Nagao, Yusuke Mizuno, Erika Uchida, Konomu Uno, Hiromichi Araki, Takahiro Nakazawa, Yuka Suzuki, Akitoshi Saitou, Tadashi Toyohara, Tomonori Yamada, Katsumi Hayashi, Atsunori Kusakabe |
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| Rok vydání: | 2017 |
| Předmět: |
medicine.medical_specialty
030231 tropical medicine medicine.disease_cause Gastroenterology Lesion 03 medical and health sciences 0302 clinical medicine Internal medicine parasitic diseases Biopsy Internal Medicine medicine Giardia lamblia Magnetic resonance cholangiopancreatography medicine.diagnostic_test business.industry Bile duct Gallbladder General Medicine Gallstones medicine.disease Metronidazole medicine.anatomical_structure medicine.symptom business 030217 neurology & neurosurgery medicine.drug |
| Zdroj: | Internal Medicine. 56:1657-1662 |
| ISSN: | 1349-7235 0918-2918 |
| DOI: | 10.2169/internalmedicine.56.8087 |
| Popis: | We report a case of a 70-year-old man with acute acalculous cholecystitis caused by Giardia lamblia. Contrast-enhanced computed tomography (CT) showed distention of the gallbladder due to a pericholecystic abscess without gallstones. Magnetic resonance cholangiopancreatography and drip infusion cholecystocholangiography-CT demonstrated a stricture of the hilar bile duct and cystic duct obstruction. We conducted transpapillary bile duct brush cytology and a biopsy of the hilar bile duct stricture; numerous active trophozoites of Giardia lamblia were observed without malignant findings. We considered this bile duct lesion to be biliary giardiasis. Biliary giardiasis should be taken into consideration when diagnosing acute acalculous cholecystitis. |
| Databáze: | OpenAIRE |
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