RESUMEN
The main causes of biliary obstruction are stones and cancers. Fascioliasis is a very rare case which causes biliary obstruction. Fascioliasis is a zoonosis caused by Fasciola hepatica which infects herbivores like sheep and cattle. F. hepatica lives in the biliary system or the liver parenchyma of a host. In Korea, the occurrence of this infection in human is very rare and only few cases have been reported. A 32-year-old male presented with upper abdominal pain and jaundice. His laboratory finding revealed elevated liver transaminases. Abdomen CT scan showed mild left intrahepatic bile duct dilatation. On ERCP, adult F. hepatica worms were found and were thus removed. Concurrently, clonorchiasis was diagnosed by stool exam and serologic enzyme-linked immunosorbent assay test. Clonorchiasis was treated with praziquantel. Herein, we report a case of intrahepatic bile duct dilatation due to F. hepatica infection with concurrent Clonorchis sinensis infestation.
Asunto(s)
Clonorquiasis/diagnóstico , Fascioliasis/diagnóstico , Adulto , Animales , Antihelmínticos/uso terapéutico , Bencimidazoles/uso terapéutico , Conductos Biliares Intrahepáticos , Colangiopancreatografia Retrógrada Endoscópica , Clonorquiasis/complicaciones , Clonorquiasis/tratamiento farmacológico , Clonorchis sinensis/inmunología , Clonorchis sinensis/aislamiento & purificación , Ensayo de Inmunoadsorción Enzimática , Fasciola/aislamiento & purificación , Fascioliasis/complicaciones , Fascioliasis/parasitología , Humanos , Hígado/enzimología , Masculino , Praziquantel/uso terapéutico , Tomografía Computarizada por Rayos X , Transaminasas/metabolismo , TriclabendazolRESUMEN
Right atrial aneurysm is a rare abnormality of unknown origin. Approximately half of patients with right atrial aneurysm show no symptoms. Right atrial aneurysm is usually detected by chance at any time between fetal and adult life and can be associated with atrial arrhythmia and systemic embolism. The diagnosis of right atrial aneurysm can be established with echocardiography, computed tomography (CT) or magnetic resonance imaging (MRI). Because of thromboembolic risk, aneurysmectomy is usually recommended. We review the case report of a 69-year-wold woman with right atrial appendiceal aneurysm, whose diagnosis was established by echocardiography and CT angiography.