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

Yıl 2013, , - , 01.08.2013

Ahmet Uyanıkoğlu Kadir Demir Filiz Akyüz Fatih Ermiş Fatih Beşışık Güngör Boztaş

https://doi.org/10.17940/endoskopi.74808

Öz

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.

Anahtar Kelimeler

Fasciola hepatica, eosinophilia

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

Öz

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.

Anahtar Kelimeler

Fasciola hepatica, eozinofili

Kaynakça

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