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Hepatic fascioliasis and biliary surgery.
I Kayabali1, I H Gokcora, M A Yerdel
1Department of General and Paediatric Surgery, Ankara University Hospital, Turkey.
International Surgery
|July 1, 1992
Summary
Hepatic fascioliasis (HF) cases were often misdiagnosed. Surgical intervention and medical treatment showed promising long-term results for both active and chronic stages of this parasitic liver disease.
Area of Science:
- Hepatology
- Parasitology
- Surgical Gastroenterology
Background:
- Hepatic fascioliasis (HF) is a parasitic liver disease caused by Fasciola species.
- Misdiagnosis is common, with patients often presenting with symptoms mimicking cholecysto- and/or choledocholithiasis or hepatitis.
Purpose of the Study:
- To report on seven cases of hepatic fascioliasis, detailing diagnosis and management.
- To evaluate the surgical and medical treatment outcomes for HF in both active and chronic stages.
Main Methods:
- Case series of seven patients with hepatic fascioliasis.
- Surgical interventions included cholecystectomy, choledochotomy with fluke extirpation, and biliary drainage.
- Medical treatment involved emetine hydrochloride; some patients received hepatic peri-arterial neurectomy for sequelae.
Main Results:
- Five patients with active HF underwent successful surgery with no complications.
- Two patients with chronic HF (sequelae) showed favorable results after neurectomy.
- Long-term follow-up (up to 24 years) indicated positive outcomes for most patients.
Conclusions:
- Intraoperative diagnosis is crucial for effective management of hepatic fascioliasis.
- Surgical and medical interventions offer promising long-term results for HF.
- Prompt diagnosis and appropriate treatment are essential for managing both acute and chronic hepatic fascioliasis.