A Case of Biliary Fascioliasis Mimicking Neoplasia of the Common Hepatic Duct.
10.3904/kjm.2015.88.2.187
- Author:
Su Young PARK
1
;
Jung Sik CHOI
;
Tae Seon OH
;
Hye Rim KANG
;
Jae Hyun JUNG
;
Young Gu KIM
;
Jong Yoon KIM
Author Information
1. Division of Gastroenterology, Department of Internal Medicine, Inje University Busan Paik Hospital, Inje University College of Medicine, Busan, Korea. cwj1225@naver.com
- Publication Type:Case Report
- Keywords:
Fascioliasis;
Common hepatic duct;
Endoscopic retrograde cholangiopancreatography
- MeSH:
Abdominal Pain;
Adult;
Cholangiopancreatography, Endoscopic Retrograde;
Cholangitis;
Diagnosis;
Drinking Water;
Fasciola hepatica;
Fascioliasis*;
Female;
Hepatic Duct, Common*;
Hepatitis B, Chronic;
Humans;
Metacercariae;
Parasites;
Phenobarbital;
Sphincterotomy, Endoscopic;
Surgical Instruments;
Zoonoses
- From:Korean Journal of Medicine
2015;88(2):187-191
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Fascioliasis is a rare zoonotic disease caused by Fasciola hepatica, the liver fluke. Humans can become accidental hosts of this parasite by ingesting contaminated drinking water or plants containing viable metacercariae. There are two disease stages: the hepatic (acute) and biliary (chronic) stages. The biliary stage of this zoonotic infection is often misdiagnosed because the symptoms are subclinical, with intermittent cholangitis as the only sign. Endoscopic retrograde cholangiopancreatography (ERCP) has been described in the diagnosis of a few cases of fascioliasis. We used this modality to diagnose biliary fascioliasis in a 39-year-old woman with chronic hepatitis B who had intermittent abdominal pain for three years with irregular wall thickening and luminal narrowing of the common hepatic duct (CHD), which resembled neoplasia of the CHD. Following the correct diagnosis, the adult worm was removed using endoluminal forceps via endoscopic sphincterotomy. This case report confirms the diagnostic and therapeutic value of ERCP in patients with biliary fascioliasis that may mimic neoplasia of the CHD.
