Korean J Parasitol.  2011 Mar;49(1):65-68. 10.3347/kjp.2011.49.1.65.

A Case of Biliary Fascioliasis by Fasciola gigantica in Turkey

Affiliations
  • 1Department of Gastroenterology, Dicle University School of Medicine, Diyarbakir, Turkey. vegoral@hotmail.com
  • 2Department of Radiology, Dicle University School of Medicine, Diyarbakir, Turkey.
  • 3Department of Parasitology, Dicle University School of Medicine, Diyarbakir, Turkey.
  • 4Department of Internal Medicine, Dicle University School of Medicine, Diyarbakir, Turkey.

Abstract

A case of Fasciola gigantica-induced biliary obstruction and cholestasis is reported in Turkey. The patient was a 37- year-old woman, and suffered from icterus, ascites, and pain in her right upper abdominal region. A total of 7 living adult flukes were recovered during endoscopic retrograde cholangiopancreatography (ERCP). A single dose of triclabendazole was administered to treat possible remaining worms. She was living in a village of southeast of Anatolia region and had sheeps and cows. She had the history of eating lettuce, mallow, dill, and parsley without washing. This is the first case of fascioliasis which was treated via endoscopic biliary extraction during ERCP in Turkey.

Keyword

Fasciola gigantica; fascioliasis; bile duct; Turkey

MeSH Terms

Adult
Animals
Anthelmintics/administration & dosage
Benzimidazoles/administration & dosage
Cholangiopancreatography, Endoscopic Retrograde
Fasciola/isolation & purification/*physiology
Fascioliasis/drug therapy/*parasitology/radiography
Female
Humans
Turkey
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