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Acute cholecystitis caused by Clonorchis sinensis
M Rohela1, S Johari, I Jamaiah
1Department of Parasitology, Faculty of Medicine, University of Malaya, Kuala Lumpur, Malaysia. rohela@ummc.edu.my
The Southeast Asian Journal of Tropical Medicine and Public Health
|November 24, 2006
Summary
A case report details a 43-year-old man with severe abdominal pain diagnosed with acute cholecystitis. During surgery, Clonorchis sinensis worms were found in his bile duct, successfully treated post-operation.
Area of Science:
- Hepatobiliary Medicine
- Infectious Diseases
- Parasitology
Background:
- Acute cholecystitis, inflammation of the gallbladder, can present with severe upper abdominal pain.
- Cholelithiasis and biliary obstruction are common causes, necessitating surgical intervention.
- Parasitic infections of the biliary tract, though less common in some regions, pose a significant diagnostic challenge.
Observation:
- A 43-year-old male presented with acute onset of severe upper abdominal pain.
- Emergency cholecystectomy revealed lancet-shaped worms within the common bile duct.
- The patient, from Hong Kong, had no prior history suggestive of parasitic infestation.
Findings:
- The identified worms were confirmed as adult Clonorchis sinensis.
- Clonorchis sinensis, a liver fluke, is endemic in East Asia and can infect the biliary system.
- This case highlights a rare presentation of clonorchiasis mimicking acute cholecystitis.
Implications:
- Accurate identification of Clonorchis sinensis is crucial for appropriate antiparasitic treatment.
- Early diagnosis and treatment of clonorchiasis can prevent long-term complications such as cholangiocarcinoma.
- This case underscores the importance of considering parasitic etiologies in patients presenting with biliary symptoms, especially in endemic areas.
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