FASCİOLA HEPATİCAYA BAĞLI GELİŞEN AKUT KOLANJİT: ENDOSKOPİK RETROGRAD KOLANJİYOPANKREATOGRAFİDE SÜRPRİZ TANI Acute Cholangitis of Fasciola Hepatica: A Surprising Diagnosis in Endoscopic Retrograde Cholangiopancreatography
Abstract
ÖZET
Fasciola hepatica; özellikle koyun, keçi, sığır, manda gibi hayvanları tutan; nadir olarak da insan safra yollarına yerleşerek hastalık yapan bir parazittir. Bu olgu sunumu ile kolanjit tablosu ile başvuran, endoskopik
retrograd kolanjiyopankreatografi (ERCP) ile başarılı bir şekilde tanısını koyduğumuz ve tedavisini yaptığımız,
bölgemizde çok nadir görülen bir Fasciola hepatica vakasını sunmayı amaçladık. 56 yaşında bulantı, kusma,
karın ağrısı, ateş şikayetleriyle başvuran kadın hastada klinik, laboratuvar ve görüntüleme bulguları kolanjit
ile uyumlu idi. Yapılan ERCP’ de balon ile koledok sıvazlandığında, 3 adet erişkin Fasciola hepatica paraziti
görüldü ve koledoktan çıkarıldı. Hastaya 10mg/kg/gün dozunda Triklabendazol tedavisi uygulandı. Fasciola
hepatica nadir görülmesi ve belirti-bulgularının diğer enfeksiyon hastalıkları ile benzerliği nedeniyle sıklıkla
gözden kaçabilmektedir. Karın ağrısı, ateş, bulantı-kusma kliniği ile başvuran hastalarda, ayırıcı tanıda Fasciola hepatica akılda bulundurulmalıdır.
Anahtar Kelimeler: Fasciola Hepatica; Endoskopik Retrograd Kolanjiyopankreatografi; Ercp; Kolanjit
ABSTRACT
Fasciola hepatica is a parasite that generally infects animals such as sheep, goats, cattle, buffaloes and also
rarely human biliary tract. Herein, we present a case of Fasciola hepatica, which is very rare in our region,
who presented with cholangitis. The patient was diagnosed and treated successfully with endoscopic retrograde cholangiopancreatography (ERCP). A 56-year-old female patient was presented with cholangitis by
the complaints of nausea, vomiting, abdominal pain and fever. Three adult Fasciola hepatica parasites were
detected and removed from choledochus by ERCP. The patient was administered triclabendazole at a dose
of 10mg/kg/day. Fasciola hepatica may be overlooked because of its rarity and similarity of symptoms and
signs with other infectious diseases. Fasciola hepatica should be kept in mind in the differential diagnosis of
patients presenting with abdominal pain, fever, and nausea.
Keywords: Fasciola Hepatica; Endoscopic Retrograde Cholangiopancreatography; Ercp; Cholangitis
Keywords
FASCİOLA HEPATİCAYA BAĞLI GELİŞEN AKUT KOLANJİT: ENDOSKOPİK RETROGRAD KOLANJİYOPANKREATOGRAFİDE SÜRPRİZ TANI
References
- 1. Siles-Lucas M, Becerro-Recio D, Serrat J, González-Miguel J. Fascioliasis and fasciolopsiasis: Current knowledge and future trends. Res Vet Sci. 2020;134:27-35. 2. Emir S, Yazar MF, Sözen S, Altunsoy HB, Bulut HT. Acute Cholangitis and Pancreatitis Caused By Fasciola Hepatica: A Case Report. Meandros Med Dent J 2013;14: 27-9.
- 3. Ozturhan H, Emekdaş G, Sezgin O, Korkmaz M, Altintaş E. Seroepidemiology of Fasciola Hepatica in Mersin province and surrounding towns and the role of family history of the Fascioliasis in the transmission of the parasite. Turk J Gastroenterol. 2009;20:198-203.
- 4. Beyhan YE, Yılmaz H. Seroprevalence of fascioliasis in the eastern region of Turkey: an eight-year investigation. Turk J Gastroenterol. 2020;31:746-51.
- 5. Taş Cengiz Z, Yılmaz H, Dülger AC, Akdeniz H, Karahocagil MK, Çiçek M. Seroprevalence of human fascioliasis in Van province, Turkey. Turk J Gastroenterol. 2015;26:259-62.
- 6. Park HJ, Choi GS, Jung M, Lee SU. Fasciola Hepatica Induced Hepatic Abscess Treated with Triclabendazole. Korean J Gastroenterol. 2021;77:39-44.
- 7. Aksoy DY, Kerimoğlu U, Oto A, Erguven S, Arslan S, Unal S,et al. Fasciola hepatica infection: clinical and computerized tomographic findings of ten patients. Turk J Gastroenterol 2006;17:40-5.
- 8. Gulsen MT, Savas MC, Koruk M, Kadayifci A, Demirci F. Fascioliasis: a report of five cases presenting with common bile duct obstruction. Neth J Med 2006;64:17-9.
- 9. Beştaş R, Yalçin K, Çiçek M. Cholestasis caused by Fasciola gigantica. Turkiye Parazitol Derg. 2014;38:201-4.
- 10. Sezgın O, Altintaş E, Tombak A, Uçbılek E. Fasciola hepaticainduced acute pancreatitis: report of two cases and review of the literature. Turk J Gastroenterol. 2010;21:183-7
Abstract
References
- 1. Siles-Lucas M, Becerro-Recio D, Serrat J, González-Miguel J. Fascioliasis and fasciolopsiasis: Current knowledge and future trends. Res Vet Sci. 2020;134:27-35. 2. Emir S, Yazar MF, Sözen S, Altunsoy HB, Bulut HT. Acute Cholangitis and Pancreatitis Caused By Fasciola Hepatica: A Case Report. Meandros Med Dent J 2013;14: 27-9.
- 3. Ozturhan H, Emekdaş G, Sezgin O, Korkmaz M, Altintaş E. Seroepidemiology of Fasciola Hepatica in Mersin province and surrounding towns and the role of family history of the Fascioliasis in the transmission of the parasite. Turk J Gastroenterol. 2009;20:198-203.
- 4. Beyhan YE, Yılmaz H. Seroprevalence of fascioliasis in the eastern region of Turkey: an eight-year investigation. Turk J Gastroenterol. 2020;31:746-51.
- 5. Taş Cengiz Z, Yılmaz H, Dülger AC, Akdeniz H, Karahocagil MK, Çiçek M. Seroprevalence of human fascioliasis in Van province, Turkey. Turk J Gastroenterol. 2015;26:259-62.
- 6. Park HJ, Choi GS, Jung M, Lee SU. Fasciola Hepatica Induced Hepatic Abscess Treated with Triclabendazole. Korean J Gastroenterol. 2021;77:39-44.
- 7. Aksoy DY, Kerimoğlu U, Oto A, Erguven S, Arslan S, Unal S,et al. Fasciola hepatica infection: clinical and computerized tomographic findings of ten patients. Turk J Gastroenterol 2006;17:40-5.
- 8. Gulsen MT, Savas MC, Koruk M, Kadayifci A, Demirci F. Fascioliasis: a report of five cases presenting with common bile duct obstruction. Neth J Med 2006;64:17-9.
- 9. Beştaş R, Yalçin K, Çiçek M. Cholestasis caused by Fasciola gigantica. Turkiye Parazitol Derg. 2014;38:201-4.
- 10. Sezgın O, Altintaş E, Tombak A, Uçbılek E. Fasciola hepaticainduced acute pancreatitis: report of two cases and review of the literature. Turk J Gastroenterol. 2010;21:183-7
Details
| Primary Language | Turkish |
|---|---|
| Subjects | Health Care Administration |
| Journal Section | Case Report |
| Authors | |
| Publication Date | March 15, 2022 |
| Published in Issue | Year 2022 Volume: 12 Issue: 1 |