关键词: 胆管炎, 肝吸虫, 误诊, 胆管癌

Abstract: ［Abstract］ Objective To introduce the diagnosis and treatment of 3 cases of hepatic cholangitis with clonorchis sinensis infected and summarize the clinical experience. Methods The clinical characteristic of clonorchiasis sinensis misdiagnosed as cholangiocarcinoma were retrospectively analyzed. Results Sexuality of 3 hepatic clonorchis infected patients all were male, age ranged from 50 y to 65 y, and with a story of eating rawfish. The case 1 suffered from upper abdominal pain for 4 days, case 2 had upper abdominal pain for 1 month, and case 3 with upper abdominal pain for 6 months. All the patients were misdiagnosed as cholangiocarcinoma before operation. All the three patients underwent surgical treatments included cholecystectomy, choledochotomy with exploration and cholangoscopy, and T tube drainage. In three patients, a large number of clonorchiasis worms were observed during operation, and one of them developed suppurative cholangitis. The patients was cured with no obvious complications. Conclusion For patients with hepatic cholangitis who highly suspected cholangiocarcinoma, it is a more appropriate decision for next surgical plan after deworming treatment, repeated imaging studies or multiple endoscopy combinations.

Key words: cholangitis, cholangiocarcinoma, clonorchiasis sinensis, misdiagnosis