Korean J Gastrointest Endosc.  2006 Mar;32(3):231-234.

A Case of Clonorchiasis Presenting with Acute Pancreatitis and Cholangitis

Affiliations
  • 1Department of Internal Medicine, Hallym University College of Medicine, Seoul, Korea. minsoksumin@yahoo.co.kr

Abstract

Clonorchiasis is a parasitic disease that is often found in Japan, Korea, China, Hong Kong as well as in countries in Southeast Asia. The disease is caused by the ingestion of infected raw freshwater fish. The clinical manifestations depend on the number of flukes in a patient, the period of infestation, and the complications. In patients with a heavy infestation, extrahepatic bile duct, the gallbladder and even the pancreas are involved. We experienced a 62-year-old man who had a history of ingestion of raw freshwater fish and presented with acute pancreatitis and cholangitis. The pancreaticobiliary-associated clonorchiasis was successfully treated with endoscopic sphincterotomy, and praziquantel.

Keyword

Clonorchiasis; Acute pancreatitis; Acute cholangitis

MeSH Terms

Asia, Southeastern
Bile Ducts, Extrahepatic
China
Cholangitis*
Clonorchiasis*
Eating
Fresh Water
Gallbladder
Hong Kong
Humans
Japan
Korea
Middle Aged
Pancreas
Pancreatitis*
Parasitic Diseases
Praziquantel
Sphincterotomy, Endoscopic
Trematoda
Praziquantel
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