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[Chronic fascioliasis with destructive cholangitis].
G H Reinhard1, V Graf, H J Augustin
1Medizinische Klinik, Akademisches Lehrkrankenhaus, Universität Freiburg/Br.
Fortschritte Der Medizin
|December 20, 1991
Summary
Chronic fascioliasis, a parasitic liver disease, was diagnosed in a 56-year-old man after 16 years of unexplained symptoms. Endoscopic retrograde cholangiopancreatography (ERC) and bile aspiration confirmed the diagnosis.
Area of Science:
- Hepatology
- Infectious Diseases
- Parasitology
Background:
- Fascioliasis is a neglected tropical disease caused by liver flukes.
- It can lead to chronic gastrointestinal and hepatobiliary symptoms.
- Delayed diagnosis can result in prolonged suffering and complications.
Observation:
- A 56-year-old man presented with a 16-year history of abdominal pain and weight loss.
- He had a history of working in an electroplating shop in Germany.
- Previous treatments for various conditions were unsuccessful.
Findings:
- Endoscopic retrograde cholangiopancreatography (ERC) was performed.
- Aspiration of bile revealed the presence of liver fluke eggs.
- The diagnosis of chronic fascioliasis was definitively established.
Implications:
- Highlights the importance of considering parasitic infections in patients with prolonged, unexplained gastrointestinal symptoms.
- Emphasizes the diagnostic utility of ERC and bile analysis in challenging cases.
- Underscores the need for increased awareness of fascioliasis in endemic and non-endemic regions.