中国血吸虫病防治杂志(中英文) ›› 2026, Vol. 38 ›› Issue (2): 219-222.

• 病例报道 • 上一篇    

胆总管肝片形吸虫病1例

张鹏飞1,汤琼2,刘力1,李晶鑫1,兰炜明3*   

  1. 1 江西省萍乡市疾病预防控制中心(江西 萍乡 337000);2 江西省上栗县疾病预防控制中心;3 江西省寄生虫病防治研究所(江西 南昌 330096)
  • 出版日期:2026-06-02 发布日期:2026-06-02
  • 通讯作者: 兰炜明 wmlan0795@163.com
  • 作者简介:张鹏飞,男,硕士,主管医师。研究方向:疾病预防与控制

Fascioliasis in the common bile duct: a case report

ZHANG Pengfei1, TANG Qiong2, LIU Li1, LI Jingxin1, LAN Weiming3*   

  1. 1 Pingxiang Municipal Center for Disease Control and Prevention, Jiangxi Province, Pingxiang, Jiangxi 337000, China; 2 Shangli County Center for Disease Control and Prevention, Jiangxi Province, China; 3 Jiangxi Provincial Institute of Parasitic Diseases, Nanchang, Jiangxi 330096, China
  • Online:2026-06-02 Published:2026-06-02

摘要: 本文报道1例胆总管肝片形吸虫病患者的诊治过程,旨在为该病临床诊疗提供参考。患者因长期腹痛、腹胀、恶心、呕吐等症状就诊,影像学检查提示胆总管及肝内胆管扩张,以“胆总管结石”收治入院。经内窥镜逆行胰胆管造影和胆道镜检查,在患者胆总管内取出2条虫体,经高通量测序鉴定为肝片形吸虫。

关键词: 肝片形吸虫, 胆总管, 江西省, 上栗县

Abstract: This article reports the diagnosis and treatment of one patient with fascioliasis of the common bile duct, aiming to provide reference for the clinical diagnosis and treatment of this disease. The patient sought medical attention due to long⁃term symptoms such as abdominal pain, abdominal distension, nausea, and vomiting. Imaging examinations displayed dilatation of the common bile duct and intrahepatic bile ducts, and the patient was admitted to the hospital with a diagnosis of "common bile duct stone". Through endoscopic retrograde cholangiopancreatography and choledochoscopy, two worms were collected from the common bile duct, which were identified as Fasciola hepatica by high⁃throughput sequencing.

Key words: Fasciola hepatica, Common bile duct, Jiangxi Province, Shangli County

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