Year 2019 / Volume 111 / Number 2
Letter
Obstructive jaundice of a parasitic etiology

165-166

DOI: 10.17235/reed.2018.5827/2018

M.ª Antonia Remacha ., Mª Pilar Goñi, Jesus Espinel,

Abstract
We present the case of a patient with colic pain in the epigastrium and right hypochondrium, which was accompanied by choluria and acholia and slightly elevated levels of bilirubin and eosinophilia. Abdominal echography and magnetic resonance imaging identified a biliary obstruction and endoscopic retrograde cholangiopancreatography was used to extract 3 adult worms identified as Fasciola hepatica. This case highlights the need to consider the suspicion of biliary obstruction caused by Fasciola hepatica in the presence of obstructive jaundice, with or without eosinophilia.
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References
1.- Mas-Coma S, Bargues MD, Valero M. Human fascioliasis infection sources, their diversity, incidence factors, analytical methods and prevention measures. Parasitology.2018;11:1-35. DOI: 10.1017/S0031182018000914
2.- Cosme A, Marcos JM, Galvany A, et al. Obstrucción del colédoco por Fasciola hepática. Med Clín 1979;73:438-442.
3.- Ha JS, Choi HJ, Moon JH, et al. Endoscopic extraction of biliary fascioliasis diagnosed using intraductal ultrasonography in a patient with acute cholangitis. Clin Endosc 2015;48:579-582. DOI: 10.5946/ce.2015.48.6.579
4. Guzmán-Calderón E, Vera-Calderón A, Díaz-Ríos R et al. Fasciola hepatica in the common bile duct: spyglass visualization and endoscopic extraction. Rev Esp Enferm Dig. 2018 Jun 22;110. DOI: 10.17235/reed.2018.5514/2018
5. 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. DOI: 10.4103/2156-7514.92372
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Remacha . M, Goñi M, Espinel J. Obstructive jaundice of a parasitic etiology. 5827/2018


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Publication history

Received: 12/07/2018

Accepted: 25/07/2018

Online First: 15/10/2018

Published: 01/02/2019

Article Online First time: 95 days

Article editing time: 204 days


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