Cholestasis caused by Fasciola gigantica

Fascioliasis is an infectious disease caused by the hepatic trematodes Fasciola hepatica and Fasciola gigantica. Here, we report the case of Fasciola gigantica presenting with biliary obstruction and abdominal pain that was diagnosed and treated by endoscopic retrograde cholangiography (ERCP). A 46-...

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Bibliographic Details
Published in:	Türkiye parazitolojii dergisi Vol. 38; no. 3; pp. 201 - 204
Main Authors:	Bestas, Remzi, Yalcin, Kendal, Cicek, Muttalip
Format:	Journal Article
Language:	English
Published:	Turkey Galenos Publishing House 2014
Subjects:	Abdominal Pain - parasitology Abdominal Pain - pathology Animals Cholangiopancreatography, Endoscopic Retrograde Cholestasis - complications Cholestasis - diagnosis Cholestasis - parasitology Cholestasis - surgery Common Bile Duct - parasitology Common Bile Duct - pathology Diagnosis, Differential Fasciola - isolation & purification Fascioliasis - complications Fascioliasis - diagnosis Fascioliasis - parasitology Fascioliasis - surgery Female Hepatomegaly - parasitology Hepatomegaly - pathology Humans Jaundice, Obstructive - diagnosis Jaundice, Obstructive - pathology Liver - parasitology Liver - pathology Middle Aged Turkey Turkey
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Summary:	Fascioliasis is an infectious disease caused by the hepatic trematodes Fasciola hepatica and Fasciola gigantica. Here, we report the case of Fasciola gigantica presenting with biliary obstruction and abdominal pain that was diagnosed and treated by endoscopic retrograde cholangiography (ERCP). A 46-year-old woman presented with right upper quadrant abdominal pain and jaundice. Physical examination revealed icterus and hepatomegaly. Laboratory findings revealed an increase in liver transaminases and bilirubin. Abdominal ultrasonography showed extrahepatic and intrahepatic bile duct dilatation. The patient underwent ERCP. One live Fasciola gigantica was removed from the common bile duct by ERCP. In conclusion, fascioliasis should be considered in the differential diagnosis of obstructive jaundice, especially in endemic regions, and it should be kept in mind that ERCP plays an important role in the diagnosis and treatment of these patients. To our knowledge, this is the second case report of Fasciola gigantica treated by ERCP in Turkey.
Bibliography:	ObjectType-Case Study-2 SourceType-Scholarly Journals-1 ObjectType-Feature-4 content type line 23 ObjectType-Report-1 ObjectType-Article-3
ISSN:	1300-6320 2146-3077
DOI:	10.5152/tpd.2014.3212