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Acute Cholangitis and Pancreatitis Caused By Fasciola Hepatica: A Case Report

Year 2013, Volume: 14 Issue: 3, 27 - 29, 01.12.2013

Abstract

Fasciola hepatica is an endemic parasite in Turkey. This parasite usually infests cattle and sheep. People can
become a host of this parasite by ingesting contaminated water and plants in endemic areas. Chronic Fasciola
hepatica infestation is known to cause biliary obstruction
and inflammation. Also, biliary fasciolosis may be asymptomatic. ERCP plays an important role in the diagnosis
of the disease and can be used safely in these cases. Especially in cases that could not be diagnosed by
conventional methods, parasitic infestations such as Fasciola hepatica should be kept in mind, in endemic areas.
We report a case of a 37-year-old lady with obstructive jaundice secondary to biliary obstruction with Fasciola
hepatica. Our patient admitted to the emergency unit with the compliants, nausea, vomiting, abdominal pain and
jaundice. An ERCP recommended because of acute cholangeitis and pancreatitis. ERCP coluldn't performed
effectively, so the case operated, and cholecystectomy and choledoc exploration performed. In the operation, the
parasites removed from the gall bladder and common bile duct. Our patient discharged after hospital care
postoperatively without any complication

References

  • 1. King CH. Flukes (liver, lung and intestinal). In: Kliegman RM, Behrman RE, Jenson HB, Stanton BF,editors). Nelson textbook of pediatrics,18th ed. Philadelphia: WB Saunders Elsevier, 2007:1510-1511.
  • 2. Price TA, Tuazon CU, Simon GL. Fascioliasis: case reports and review. Clin Infect Dis 1993;17:426-30.
  • 3. Kiladze M, Chipasshvili L, Abuladze D, Jatchvliani D. Obstruction of common bile duct caused by liver flukeFasciola hepatica. Sb Lek 2000;101:255-9.
  • 4. Taş Cengiz Z, Akbayram S, Çiçek M, Yılmaz H. Van'da ilkögretim okulu ögrencilerinde saptanan bağırsak parazitozları. Türk Parazitoloji Dergisi 2009;33:289- 93.
  • 5. Özturhan H, Emekdaş G, Segin O, Korkmaz M, Altıntaş E. Mersin ili ve ilçelerinde Fasciola hepatica seroepidemiyolojisi ve bulaşta aile öyküsünün önemi. Turk J Gasroenterol 2009;20:198-203.
  • 6. Gülşen M, Savas MC, Koruk M, Kadayıfçi A, Demirci F. Fascioliasis: a report of five cases presenting with common bile duct obstruction. Neth J Med 2006; 64:17-9.
  • 7. El-Shazly AM, Soliman M, Gabr A, Haseeb AN, Morsy AT, Arafa MA, Morsy TA. Clinico-epidemiological study of human fascioliasis in an endemic focus in Dakahlia Governorate, Egypt. J Egypt Soc Parasitol 2001;31:725-36.
  • 8. Yen TJ, Hsiao CH, Hu RH, Liu KL, Chen CH. Education and imaging: hepatobiliary and pancreatic: chronic hepatic abscess associated with fascioliasis. J Gastroenterol Hepatol 2011;26:611.
  • 9. Aslan F, Alper E, Akpınar Z, Baydar B, Kadir M, Buyraç Z, Çekiç C, Ünsal B. Arare cause of cholangitis: Fasciola hepatica. Turk J Gastroenterol 2010; 21(3): 329-30.
  • 10. Aksoy DY, Kerimoglu U, Oto A, Erguven S, Arslan S, Unal S, Batman F, Bayraktar Y. Fasciola hepatica infection: Clinical and computerized tomographic findings of ten patients. Turk J Gastroenterol 2006;17:40-5.
  • 11. Danilewitz M, Kotfila R, Jensen P. Endoscopic diagnosis and management of fasciola hepatica causing bili a ry obstruc tion. Am J Ga stroent e rol 1996;91(12):2620-1.
  • 12. El-Newihi HM, Waked IA, Mihas AA. Biliary complications of Fasciola hepatica: the role of endoscopic retrograde cholangiography in management. J Clin Gastroenterol 1995;21(4):309-11.
  • 13. Ozer B, Serin E, Gumurdulu Y, Gur G, Yılmaz U, Boyacıoglu S. Endoscopic extraction of living fasciola hepatica: case report and literature review. Turk J Gastroenterol 2003;14:74-7.
  • 14. Veerappan A, Siegel JH, Podany J, Prudente R, Gelb A. Fasciola hepatica pancreatitis: endoscopic extraction of live parasites. Gastrointest Endosc 1991;37:473-5.

FASCİOLA HEPATİCA'YA BAĞLI OLARAK GELİŞEN AKUT KOLANJİT VE PANKREATİT: OLGU SUNUMU

Year 2013, Volume: 14 Issue: 3, 27 - 29, 01.12.2013

Abstract

Fasciola hepatica Türkiye'de endemik bir parazittir. Bu parazit genellikle sığır ve koyunlarda enfeksiyona yol açar. Ancak endemik bölgelerde insanlar, kontamine içme suyu ve sebze tüketimi nedeni ile bu parazit için tesadüfen konak olabilmektedir. Kronik Fasciola hepatica infeksiyonu biliyer obstrüksiyon ve inflamasyona neden olmaktadır. Aynı zamanda, biliyer fasciolosis asemptomatik de olabilir. Bu gibi olgularda teşhiste ERCP önemli rol oynar ve güvenle kullanılmaktadır. Özellikle endemik bölgelerde konvansiyonel yöntemlerle etkeni saptanamayan olgularda Fasciola hepatica gibi paraziter enfestasyonlar akla gelmelidir.Bu çalışmada, Fasiola hepatikanın sebep olduğu bilier obstrüksiyona sekonder tıkanma sarılığı ile başvuran 37 yaşında bayan hasta sunulmaktadır. Hasta bulantı, kusma, karın ağrısı ve sarılık şikayeti ile acil polikliniğine başvurdu. Akut kolonjit ve pankreatit tanısı konulan hastaya ERCP yapıldı. ERCP' nin başarılı olmaması üzerine ameliyata alınan hastaya kolesistektomi ve koledok eksplorasyonu yapıldı. Safra kesesi ve koledok içerisinden parazit çıkartılan hasta, postoperatif dönemde şifa ile taburcu edildi

References

  • 1. King CH. Flukes (liver, lung and intestinal). In: Kliegman RM, Behrman RE, Jenson HB, Stanton BF,editors). Nelson textbook of pediatrics,18th ed. Philadelphia: WB Saunders Elsevier, 2007:1510-1511.
  • 2. Price TA, Tuazon CU, Simon GL. Fascioliasis: case reports and review. Clin Infect Dis 1993;17:426-30.
  • 3. Kiladze M, Chipasshvili L, Abuladze D, Jatchvliani D. Obstruction of common bile duct caused by liver flukeFasciola hepatica. Sb Lek 2000;101:255-9.
  • 4. Taş Cengiz Z, Akbayram S, Çiçek M, Yılmaz H. Van'da ilkögretim okulu ögrencilerinde saptanan bağırsak parazitozları. Türk Parazitoloji Dergisi 2009;33:289- 93.
  • 5. Özturhan H, Emekdaş G, Segin O, Korkmaz M, Altıntaş E. Mersin ili ve ilçelerinde Fasciola hepatica seroepidemiyolojisi ve bulaşta aile öyküsünün önemi. Turk J Gasroenterol 2009;20:198-203.
  • 6. Gülşen M, Savas MC, Koruk M, Kadayıfçi A, Demirci F. Fascioliasis: a report of five cases presenting with common bile duct obstruction. Neth J Med 2006; 64:17-9.
  • 7. El-Shazly AM, Soliman M, Gabr A, Haseeb AN, Morsy AT, Arafa MA, Morsy TA. Clinico-epidemiological study of human fascioliasis in an endemic focus in Dakahlia Governorate, Egypt. J Egypt Soc Parasitol 2001;31:725-36.
  • 8. Yen TJ, Hsiao CH, Hu RH, Liu KL, Chen CH. Education and imaging: hepatobiliary and pancreatic: chronic hepatic abscess associated with fascioliasis. J Gastroenterol Hepatol 2011;26:611.
  • 9. Aslan F, Alper E, Akpınar Z, Baydar B, Kadir M, Buyraç Z, Çekiç C, Ünsal B. Arare cause of cholangitis: Fasciola hepatica. Turk J Gastroenterol 2010; 21(3): 329-30.
  • 10. Aksoy DY, Kerimoglu U, Oto A, Erguven S, Arslan S, Unal S, Batman F, Bayraktar Y. Fasciola hepatica infection: Clinical and computerized tomographic findings of ten patients. Turk J Gastroenterol 2006;17:40-5.
  • 11. Danilewitz M, Kotfila R, Jensen P. Endoscopic diagnosis and management of fasciola hepatica causing bili a ry obstruc tion. Am J Ga stroent e rol 1996;91(12):2620-1.
  • 12. El-Newihi HM, Waked IA, Mihas AA. Biliary complications of Fasciola hepatica: the role of endoscopic retrograde cholangiography in management. J Clin Gastroenterol 1995;21(4):309-11.
  • 13. Ozer B, Serin E, Gumurdulu Y, Gur G, Yılmaz U, Boyacıoglu S. Endoscopic extraction of living fasciola hepatica: case report and literature review. Turk J Gastroenterol 2003;14:74-7.
  • 14. Veerappan A, Siegel JH, Podany J, Prudente R, Gelb A. Fasciola hepatica pancreatitis: endoscopic extraction of live parasites. Gastrointest Endosc 1991;37:473-5.
There are 14 citations in total.

Details

Other ID JA98RD38SN
Journal Section Case Report
Authors

Seyfi Emir This is me

Mehmet Fatih Yazar This is me

Selim Sözen This is me

Hasan Baki Altınsoy This is me

Hacı Taner Bulut This is me

Zeynep Özkan This is me

Publication Date December 1, 2013
Published in Issue Year 2013 Volume: 14 Issue: 3

Cite

EndNote Emir S, Yazar MF, Sözen S, Altınsoy HB, Bulut HT, Özkan Z (December 1, 2013) Acute Cholangitis and Pancreatitis Caused By Fasciola Hepatica: A Case Report. Meandros Medical And Dental Journal 14 3 27–29.