RESUMO
Cholelithiasis is increasingly diagnosed in childhood and infancy. Biliary parasites are the rarest cause of cholelithiasis in all age groups. We present a twelve-year-old girl with non-hemolytic gallbladder stone and discuss the clinical features and differential diagnosis of Dicrocoelium dendriticum (DD) invasion that causes and/or mimics cholelithiasis in children.
Assuntos
Colelitíase/diagnóstico , Dicrocelíase/diagnóstico , Doenças da Vesícula Biliar/parasitologia , Criança , Diagnóstico Diferencial , Dicrocelíase/diagnóstico por imagem , Dicrocelíase/patologia , Feminino , Doenças da Vesícula Biliar/patologia , Humanos , UltrassonografiaRESUMO
Dicrocoelium dentriticum (D. dentriticum) is a liver fluke induced biliary obstruction. Infection usually occurs in herbivores such as sheep, goats and deer; human infection is very rarely encountered in clinical practice. We report on a 65-y-old female presenting with biliary obstruction caused by D. dentriticum. Following treatment with triclobendazole, her symptoms disappeared, and laboratory values returned to normal range within 6 months. Parasitosis is an important cause of biliary obstruction. We suggest that for patients presenting with biliary obstruction, D. dentriticum should be included in the differential diagnosis.