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Presentation with hepatic mass and ERCP extraction of Fasciola hepatica: A case report and review of the literature

Year 2013, , - , 01.08.2013
https://doi.org/10.17940/endoskopi.74808

Abstract

Fasciola hepatica is a liver trematode that is endemic in some parts of Turkey. Clinical findings are nonspecific, such as abdominal pain and right upper quadrant tenderness. Eosinophilia, elevated liver enzymes and positive serology can be detected in laboratory investigations, while multiple nodules in the liver and dilated bile ducts can be seen in imaging modalities. Triclabendazole is effective in the hepatic and biliary phases. Fasciola hepatica is also treated with endoscopic retrograde cholangiopancreatography by biliary duct removal. Herein, we present a young woman who was evaluated with a mass in the liver and biliary tract dilatation caused by Fasciola hepatica and who was treated with endoscopic retrograde cholangiopancreatography.

References

  • Hakyemez IN, Aktaş G, Savli H, et al. A Fascioliasis case: a not rare cause of hypereosinophilia in developing countries, present in developed too. Mediterr J Hematol Infect Dis 2012; 4: e2012029.
  • Aksoy DY, Kerimoğlu U, Oto A, et al. Fasciola hepatica infection: clinical and computerized tomographic findings of ten patients. Turk J Gastro- enterol 2006; 17: 40-5.
  • Trifina E, Spenger J, Zandieh S, et al. Multiple liver lesions accompanied by eosinophilia - a case report of fascioliosis. Wien Med Wochenschr 2011; 161: 448-54.
  • Noyer CM, Coyle CM, Werner C, et al. Hypereosinophilia and liver mass in an immigrant. Am J Trop Med Hyg 2002; 66: 774-6.
  • Periago MV, Valero MA, El Sayed M, et al. First phenotypic description of Fasciola hepatica/Fasciola gigantica intermediate forms from the hu- man endemic area of the Nile Delta, Egypt. Infect Genet Evol 2008; 8: 51-8.
  • Koç Z, Ulusan S, Tokmak N. Hepatobiliary fascioliasis: imaging charac- teristics with a new finding. Diagn Interv Radiol 2009; 15: 247-51.
  • Kaya M, Beştaş R, Cetin S. Clinical presentation and management of Fas- ciola hepatica infection: single-center experience. World J Gastroenterol 2011; 17: 4899-904.
  • Dusak A, Onur MR, Cicek M, et al. Radiological imaging features of Fasciola hepatica infection - a pictorial review. J Clin Imaging Sci 2012; 2: 2.
  • Sakru N, Korkmaz M, Demirci M, et al. Fasciola hepatica infection in echinococcosis suspected cases. Turkiye Parazitol Derg 2011; 35: 77-80.
  • Ozturhan H, Emekdaş G, Sezgin O, et al. Seroepidemiology of Fasciola hepatica in Mersin province and surrounding towns and the role of fam- ily history of the Fascioliasis in the transmission of the parasite. Turk J Gastroenterol 2009; 20: 198-203.
  • Oncu K, Yazgan Y, Kaplan M, et al. An extremely uncommon case of parasitic infection presenting as eosinophilic ascites in a young patient. Case Rep Gastroenterol 2011; 5: 139-43.
  • Adachi S, Kotani K, Shimizu T, et al. Asymptomatic fascioliasis. Intern Med 2005; 44: 1013-5.
  • Lee OJ, Kim TH. Indirect evidence of ectopic pancreatic fascioliasis in a human. J Gastroenterol Hepatol 2006; 21: 1631-3.
  • Bengisun U, Ozbas S, Sarioglu U. Fascioliasis observed during laparo- scopic cholecystectomy. Langenbecks Arch Surg 1999; 384: 84-7.
  • Zhou L, Luo L, You C, et al. Multiple brain hemorrhages and hematomas associated with ectopic fascioliasis in brain and eye. Surg Neurol 2008; 69: 516-21.
  • Deveci U, Oztürk T, Ustün C. A case of radiologically diagnosed pediat- ric Fasciola hepatica. Turkiye Parazitol Derg 2011; 35: 117-9.
  • Christmann M, Henrich R, Mayer G, Ell C. Infection with fasciola he- patica causing elevated liver-enzyme results and eosinophilia - serologic and endoscopic diagnosis and therapy. Z Gastroenterol 2002; 40: 801-6.
  • Fica A, Dabanch J, Farias C, et al. Acute fascioliasis--clinical and epide- miological features of four patients in Chile. Clin Microbiol Infect 2012; 18: 91-6.
  • Gökçe M, Sahiner U, Unal S, et al. An unexpected parasitic cause of hypereosinophilia: fascioliasis. Turk J Pediatr 2011; 53: 111-3.
  • Kaya M, Beştaş R, Girgin S, et al. Increased anti-Echinococcus granulosus antibody positivity in Fasciola hepatica infection. Turk J Gastroenterol 2012; 23: 339-43.
  • Figueroa-Santiago O, Delgado B, Espino AM. Fasciola hepatica saposin- like protein-2-based ELISA for the serodiagnosis of chronic human fas- cioliasis. Diagn Microbiol Infect Dis 2011; 70: 355-61.
  • Kodama K, Ohnishi H, Matsuo T, Matsumura T. Three cases of human fascioliasis. Kansenshogaku Zasshi 1991; 62: 1620-4.
  • Weiss D, Marti G, Mouton W, et al. Infection with fasciola hepatica-a case series. Ultraschall Med 2010; 31: 175-81.
  • Cantisani V, Cantisani C, Mortelé K, et al. Diagnostic imaging in the study of human hepatobiliary fascioliasis. Radiol Med 2010; 115: 83-92.
  • Gulsen MT, Savas MC, Koruk M, et al. Fascioliasis: a report of five cases presenting with common bile duct obstruction. Neth J Med 2006; 64: 17-9.
  • Ezzat RF, Karboli TA, Kasnazani KA, Hamawandi AM. Endoscopic man- agement of biliary fascioliasis: a case report. J Med Case Rep 2010; 4: 83.
  • Mıman Ö, Özkeçecı T, Okur N, et al. A rare cause of obstructive jaun- dice: fascioliasis. Turkiye Parazitol Derg 2010; 34: 190-92.

Hepatik kitle ile prezente olan, ERCP ile ekstraksiyonu yapılan Fasciola hepatica: olgu sunumu ve literatürün gözden geçirilmesi

Year 2013, , - , 01.08.2013
https://doi.org/10.17940/endoskopi.74808

Abstract

Fasciola hepatica infeksiyonu ülkemizin bazı bölgelerinde endemik olarak rastlanan bir karaciğer trematodudur. Klinik bulgular nonspesifik olup; karın ağrısı, sağ üst kadranda hassasiyet şeklinde olabilir. Laboratuvarda eozinofili, karaciğer enzimlerinin yükselmesi, pozitif seroloji görülür. Görüntüleme yöntemlerinde karaciğerde çok sayıda nodüller ve safra yollarında dilatasyon görülür. Triclabendazol hepatik ve biliyer fazda etkilidir. Endoskopik retrograd kolanjiopankreatografi ile canlı Fasciola hepaticaların biliyer kanaldan uzaklaştırılması ile de tedavi edilir. Burada karaciğerde kitle nedeniyle tetkik edilen, safra yollarında dilatasyona neden olan ve endoskopik retrograd kolanjiopankreatografi ile tedavi edilen fasciola hepaticalı genç bayan olgusu sunulmuştur.

References

  • Hakyemez IN, Aktaş G, Savli H, et al. A Fascioliasis case: a not rare cause of hypereosinophilia in developing countries, present in developed too. Mediterr J Hematol Infect Dis 2012; 4: e2012029.
  • Aksoy DY, Kerimoğlu U, Oto A, et al. Fasciola hepatica infection: clinical and computerized tomographic findings of ten patients. Turk J Gastro- enterol 2006; 17: 40-5.
  • Trifina E, Spenger J, Zandieh S, et al. Multiple liver lesions accompanied by eosinophilia - a case report of fascioliosis. Wien Med Wochenschr 2011; 161: 448-54.
  • Noyer CM, Coyle CM, Werner C, et al. Hypereosinophilia and liver mass in an immigrant. Am J Trop Med Hyg 2002; 66: 774-6.
  • Periago MV, Valero MA, El Sayed M, et al. First phenotypic description of Fasciola hepatica/Fasciola gigantica intermediate forms from the hu- man endemic area of the Nile Delta, Egypt. Infect Genet Evol 2008; 8: 51-8.
  • Koç Z, Ulusan S, Tokmak N. Hepatobiliary fascioliasis: imaging charac- teristics with a new finding. Diagn Interv Radiol 2009; 15: 247-51.
  • Kaya M, Beştaş R, Cetin S. Clinical presentation and management of Fas- ciola hepatica infection: single-center experience. World J Gastroenterol 2011; 17: 4899-904.
  • Dusak A, Onur MR, Cicek M, et al. Radiological imaging features of Fasciola hepatica infection - a pictorial review. J Clin Imaging Sci 2012; 2: 2.
  • Sakru N, Korkmaz M, Demirci M, et al. Fasciola hepatica infection in echinococcosis suspected cases. Turkiye Parazitol Derg 2011; 35: 77-80.
  • Ozturhan H, Emekdaş G, Sezgin O, et al. Seroepidemiology of Fasciola hepatica in Mersin province and surrounding towns and the role of fam- ily history of the Fascioliasis in the transmission of the parasite. Turk J Gastroenterol 2009; 20: 198-203.
  • Oncu K, Yazgan Y, Kaplan M, et al. An extremely uncommon case of parasitic infection presenting as eosinophilic ascites in a young patient. Case Rep Gastroenterol 2011; 5: 139-43.
  • Adachi S, Kotani K, Shimizu T, et al. Asymptomatic fascioliasis. Intern Med 2005; 44: 1013-5.
  • Lee OJ, Kim TH. Indirect evidence of ectopic pancreatic fascioliasis in a human. J Gastroenterol Hepatol 2006; 21: 1631-3.
  • Bengisun U, Ozbas S, Sarioglu U. Fascioliasis observed during laparo- scopic cholecystectomy. Langenbecks Arch Surg 1999; 384: 84-7.
  • Zhou L, Luo L, You C, et al. Multiple brain hemorrhages and hematomas associated with ectopic fascioliasis in brain and eye. Surg Neurol 2008; 69: 516-21.
  • Deveci U, Oztürk T, Ustün C. A case of radiologically diagnosed pediat- ric Fasciola hepatica. Turkiye Parazitol Derg 2011; 35: 117-9.
  • Christmann M, Henrich R, Mayer G, Ell C. Infection with fasciola he- patica causing elevated liver-enzyme results and eosinophilia - serologic and endoscopic diagnosis and therapy. Z Gastroenterol 2002; 40: 801-6.
  • Fica A, Dabanch J, Farias C, et al. Acute fascioliasis--clinical and epide- miological features of four patients in Chile. Clin Microbiol Infect 2012; 18: 91-6.
  • Gökçe M, Sahiner U, Unal S, et al. An unexpected parasitic cause of hypereosinophilia: fascioliasis. Turk J Pediatr 2011; 53: 111-3.
  • Kaya M, Beştaş R, Girgin S, et al. Increased anti-Echinococcus granulosus antibody positivity in Fasciola hepatica infection. Turk J Gastroenterol 2012; 23: 339-43.
  • Figueroa-Santiago O, Delgado B, Espino AM. Fasciola hepatica saposin- like protein-2-based ELISA for the serodiagnosis of chronic human fas- cioliasis. Diagn Microbiol Infect Dis 2011; 70: 355-61.
  • Kodama K, Ohnishi H, Matsuo T, Matsumura T. Three cases of human fascioliasis. Kansenshogaku Zasshi 1991; 62: 1620-4.
  • Weiss D, Marti G, Mouton W, et al. Infection with fasciola hepatica-a case series. Ultraschall Med 2010; 31: 175-81.
  • Cantisani V, Cantisani C, Mortelé K, et al. Diagnostic imaging in the study of human hepatobiliary fascioliasis. Radiol Med 2010; 115: 83-92.
  • Gulsen MT, Savas MC, Koruk M, et al. Fascioliasis: a report of five cases presenting with common bile duct obstruction. Neth J Med 2006; 64: 17-9.
  • Ezzat RF, Karboli TA, Kasnazani KA, Hamawandi AM. Endoscopic man- agement of biliary fascioliasis: a case report. J Med Case Rep 2010; 4: 83.
  • Mıman Ö, Özkeçecı T, Okur N, et al. A rare cause of obstructive jaun- dice: fascioliasis. Turkiye Parazitol Derg 2010; 34: 190-92.
There are 27 citations in total.

Details

Primary Language Turkish
Journal Section Articles
Authors

Ahmet Uyanıkoğlu This is me

Kadir Demir This is me

Filiz Akyüz This is me

Fatih Ermiş This is me

Fatih Beşışık This is me

Güngör Boztaş This is me

Publication Date August 1, 2013
Published in Issue Year 2013

Cite

APA Uyanıkoğlu, A., Demir, K., Akyüz, F., Ermiş, F., et al. (2013). Hepatik kitle ile prezente olan, ERCP ile ekstraksiyonu yapılan Fasciola hepatica: olgu sunumu ve literatürün gözden geçirilmesi. Endoskopi Gastrointestinal, 21(2). https://doi.org/10.17940/endoskopi.74808
AMA Uyanıkoğlu A, Demir K, Akyüz F, Ermiş F, Beşışık F, Boztaş G. Hepatik kitle ile prezente olan, ERCP ile ekstraksiyonu yapılan Fasciola hepatica: olgu sunumu ve literatürün gözden geçirilmesi. Endoskopi Gastrointestinal. August 2013;21(2). doi:10.17940/endoskopi.74808
Chicago Uyanıkoğlu, Ahmet, Kadir Demir, Filiz Akyüz, Fatih Ermiş, Fatih Beşışık, and Güngör Boztaş. “Hepatik Kitle Ile Prezente Olan, ERCP Ile Ekstraksiyonu yapılan Fasciola Hepatica: Olgu Sunumu Ve literatürün gözden geçirilmesi”. Endoskopi Gastrointestinal 21, no. 2 (August 2013). https://doi.org/10.17940/endoskopi.74808.
EndNote Uyanıkoğlu A, Demir K, Akyüz F, Ermiş F, Beşışık F, Boztaş G (August 1, 2013) Hepatik kitle ile prezente olan, ERCP ile ekstraksiyonu yapılan Fasciola hepatica: olgu sunumu ve literatürün gözden geçirilmesi. Endoskopi Gastrointestinal 21 2
IEEE A. Uyanıkoğlu, K. Demir, F. Akyüz, F. Ermiş, F. Beşışık, and G. Boztaş, “Hepatik kitle ile prezente olan, ERCP ile ekstraksiyonu yapılan Fasciola hepatica: olgu sunumu ve literatürün gözden geçirilmesi”, Endoskopi Gastrointestinal, vol. 21, no. 2, 2013, doi: 10.17940/endoskopi.74808.
ISNAD Uyanıkoğlu, Ahmet et al. “Hepatik Kitle Ile Prezente Olan, ERCP Ile Ekstraksiyonu yapılan Fasciola Hepatica: Olgu Sunumu Ve literatürün gözden geçirilmesi”. Endoskopi Gastrointestinal 21/2 (August 2013). https://doi.org/10.17940/endoskopi.74808.
JAMA Uyanıkoğlu A, Demir K, Akyüz F, Ermiş F, Beşışık F, Boztaş G. Hepatik kitle ile prezente olan, ERCP ile ekstraksiyonu yapılan Fasciola hepatica: olgu sunumu ve literatürün gözden geçirilmesi. Endoskopi Gastrointestinal. 2013;21. doi:10.17940/endoskopi.74808.
MLA Uyanıkoğlu, Ahmet et al. “Hepatik Kitle Ile Prezente Olan, ERCP Ile Ekstraksiyonu yapılan Fasciola Hepatica: Olgu Sunumu Ve literatürün gözden geçirilmesi”. Endoskopi Gastrointestinal, vol. 21, no. 2, 2013, doi:10.17940/endoskopi.74808.
Vancouver Uyanıkoğlu A, Demir K, Akyüz F, Ermiş F, Beşışık F, Boztaş G. Hepatik kitle ile prezente olan, ERCP ile ekstraksiyonu yapılan Fasciola hepatica: olgu sunumu ve literatürün gözden geçirilmesi. Endoskopi Gastrointestinal. 2013;21(2).