RESUMEN
We present a case of Fasciola gigantica-induced biliary obstruction and cholestasis diagnosed and treated via endoscopy and trichlorobendazole treatment. This is the first case of Fasciola gigantica treated via endoscopic biliary extraction during ERCP and drug treatment reported from Turkey.
Asunto(s)
Colestasis/parasitología , Fascioliasis/complicaciones , Adulto , Animales , Clorobencenos/administración & dosificación , Colestasis/diagnóstico , Endoscopía del Sistema Digestivo , Fasciola/aislamiento & purificación , Fascioliasis/tratamiento farmacológico , Femenino , Humanos , TurquíaRESUMEN
A case of Fasciola gigantica-induced biliary obstruction and cholestasis is reported in Turkey. The patient was a 37- year-old woman, and suffered from icterus, ascites, and pain in her right upper abdominal region. A total of 7 living adult flukes were recovered during endoscopic retrograde cholangiopancreatography (ERCP). A single dose of triclabendazole was administered to treat possible remaining worms. She was living in a village of southeast of Anatolia region and had sheeps and cows. She had the history of eating lettuce, mallow, dill, and parsley without washing. This is the first case of fascioliasis which was treated via endoscopic biliary extraction during ERCP in Turkey.