Arzu BOZTAŞ, Hakan BULUŞ, Alper YAVUZ, Ahmet Murat KOYUNCU

Nadir görülen bir akut kolesistit nedeni; Askariyazis

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.

Anahtar Kelimeler:

Askariyazis, kolesistit

Ascariasis cholecystitis: an unusual cause

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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