Biliary Taeniasis: Case Series and Literature Review

Yan Li Department of Gastroenterology, Lhasa People’s Hospital, Lhasa, China;

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Wangzha Yixi Department of Gastroenterology, Lhasa People’s Hospital, Lhasa, China;

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Quzhen Dengzeng Department of Gastroenterology, Lhasa People’s Hospital, Lhasa, China;

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Ranhen Yibi Department of Gastroenterology, Lhasa People’s Hospital, Lhasa, China;

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Kuiliang Liu Department of Gastroenterology, Lhasa People’s Hospital, Lhasa, China;
Department of Gastroenterology, Beijing Friendship Hospital, Capital Medical University, Beijing, China

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ABSTRACT.

Biliary taeniasis is uncommon in clinical practice. We report two cases in our hospital. The first patient was diagnosed with acute biliary pancreatitis. Endoscopic retrograde cholangiopancreatography (ERCP) showed a white, flat, segmented 1-cm-wide tapeworm drilling into the duodenal papilla that was identified as Taenia saginata. After tapeworm removal, bile duct sweeping, and anthelmintic therapy, the patient recovered uneventfully. The second patient was diagnosed with acute cholangitis and multiple stones in the common bile duct and gallbladder. Emergency ERCP showed no tapeworm in the duodenum. During a subsequent ERCP 6 days later, a flat tapeworm, also T. saginata, was identified drilling into the duodenal papilla. We review five patients cases with acute acalculous cholecystitis or cholangitis caused by T. saginata or Taenia solium, and 1 patient with T. saginata drilling into the T-tube. Taeniasis should be taken into consideration when dealing with biliary and pancreatic disease.

Author Notes

Financial support: This work was supported by the National Key Clinical Specialty Construction Project (Department of Gastroenterology, Lhasa People’s Hospital).

Disclosure: Informed consent was obtained.

Authors’ contributions: K. Liu and R. Yibi conceived this study. Y. Li and W. Yixi drafted the article. K. Liu and Q. Dengzeng provided critical revision of this article. All authors approved the final version.

Authors’ addresses: Yan Li, Wangzha Yixi, Quzhen Dengzeng, and Ranhen Yibi, Department of Gastroenterology, Lhasa People’s Hospital, Lhasa, China, E-mails: 1492121708@qq.com, 582304603@qq.com, 794802397@qq.com, and 18143216011@163.com. Kuiliang Liu, Department of Gastroenterology, Lhasa People’s Hospital, Lhasa, China, and Department of Gastroenterology, Beijing Friendship Hospital, Capital Medical University, Beijing, China, E-mail: kuiliangliu@ccmu.edu.cn.

Address correspondence to Ranhen Yibi, Department of Gastroenterology, Lhasa People’s Hospital, No.1 Beijing Zhong Rd., Chengguan District, Lhasa 850000, Tibet, China. E-mail: 18143216011@163.com or Kuiliang Liu, Department of Gastroenterology, Beijing Friendship Hospital, Capital Medical University, Beijing 100050, China. E-mail: kuiliangliu@ccmu.edu.cn
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