Obstructive Jaundice Caused by Clonorchiasis-associated Duodenal Papillitis: A Case Report
Journal of Korean Medical Science
; : 135-137, 2011.
Artigo
em Inglês
| WPRIM (Pacífico Ocidental)
| ID: wpr-211269
Biblioteca responsável:
WPRO
ABSTRACT
We describe an unusual presentation of Clonorchis sinensis infection with obstructive jaundice due to duodenal papillitis which was relieved dramatically by endoscopic sphincterotomy. A 26-yr-old male presented with complaints of fatigue, weight loss and painless jaundice. The history was significant for frequent ingestion of raw freshwater fish. The patient underwent endoscopic retrograde cholangiopancreatography for evaluation of obstructive jaundice. The duodenal papilla was markedly edematous with a bulging configuration and hyperemic changes at the orifice. Cholangiography revealed mild bile duct dilatation and irregular wall changes with multiple indentations. However, there were no biliary stricture or stones noted as the cause of obstructive jaundice. We performed an endoscopic sphincterotomy for effective bile drainage through the duodenal papilla. After the sphincterotomy, the patient's jaundice was dramatically improved. Pathology of the duodenal papilla showed eosinophilic infiltration of the mucosa. Parasitic eggs, consistent with the diagnosis of C. sinensis, were found in the bile sample.
Texto completo:
Disponível
Contexto em Saúde:
Doenças Negligenciadas
Problema de saúde:
Fasciolíase
/
Helmintíase
/
Doenças Negligenciadas
/
Zoonoses
Base de dados:
WPRIM (Pacífico Ocidental)
Assunto principal:
Praziquantel
/
Ampola Hepatopancreática
/
Bile
/
Tomografia Computadorizada por Raios X
/
Colangite
/
Colangiopancreatografia Retrógrada Endoscópica
/
Esfinterotomia Endoscópica
/
Clonorquíase
/
Clonorchis sinensis
/
Icterícia Obstrutiva
Limite:
Animais
/
Humanos
/
Masculino
Idioma:
Inglês
Revista:
Journal of Korean Medical Science
Ano de publicação:
2011
Tipo de documento:
Artigo