A Case of Fascioliasis in the Intrahepatic Duct with Concurrent Clonochiasis.
10.4166/kjg.2014.64.5.298
- Author:
Seung Hyun KIM
1
;
Chang Kil JUNG
;
Jin HER
;
Ki Hwan HUR
;
Jae Hyuc CHOI
;
Kee Hoon KANG
;
Chan Hee HWANG
Author Information
1. Department of Internal Medicine, Dongkang Medical Center, Ulsan, Korea. sky8170@lycos.co.kr
- Publication Type:Case Reports ; English Abstract
- Keywords:
Fascioliasis;
Clonorchiasis;
Endoscopic retrograde cholangiopancreatography;
Intrahepatic bile duct
- MeSH:
Adult;
Animals;
Anthelmintics/therapeutic use;
Benzimidazoles/therapeutic use;
Bile Ducts, Intrahepatic;
Cholangiopancreatography, Endoscopic Retrograde;
Clonorchiasis/complications/*diagnosis/drug therapy;
Clonorchis sinensis/immunology/isolation & purification;
Enzyme-Linked Immunosorbent Assay;
Fasciola/isolation & purification;
Fascioliasis/complications/*diagnosis/parasitology;
Humans;
Liver/enzymology;
Male;
Praziquantel/therapeutic use;
Tomography, X-Ray Computed;
Transaminases/metabolism
- From:The Korean Journal of Gastroenterology
2014;64(5):298-301
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
The main causes of biliary obstruction are stones and cancers. Fascioliasis is a very rare case which causes biliary obstruction. Fascioliasis is a zoonosis caused by Fasciola hepatica which infects herbivores like sheep and cattle. F. hepatica lives in the biliary system or the liver parenchyma of a host. In Korea, the occurrence of this infection in human is very rare and only few cases have been reported. A 32-year-old male presented with upper abdominal pain and jaundice. His laboratory finding revealed elevated liver transaminases. Abdomen CT scan showed mild left intrahepatic bile duct dilatation. On ERCP, adult F. hepatica worms were found and were thus removed. Concurrently, clonorchiasis was diagnosed by stool exam and serologic enzyme-linked immunosorbent assay test. Clonorchiasis was treated with praziquantel. Herein, we report a case of intrahepatic bile duct dilatation due to F. hepatica infection with concurrent Clonorchis sinensis infestation.
