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Uncommon biliary strictures: diagnostic insights into biliary candidiasis
Akihiro Maruyama1, Takahiro Yamada2, Makoto Kobayashi2
1Gastroenterology, Yokkaichi Municipal Hospital, .
Revista Espanola De Enfermedades Digestivas
|February 19, 2025
Summary
This case report details biliary candidiasis, a rare fungal infection of the bile ducts, found incidentally in a patient with a history of gallbladder removal. Elevated liver enzymes and bile duct thickening were key findings.
Area of Science:
- Gastroenterology
- Hepatology
- Infectious Diseases
Background:
- Biliary candidiasis is an uncommon fungal infection affecting the bile ducts.
- It can present subtly, often discovered incidentally during investigations for other hepatobiliary conditions.
- Previous abdominal surgery, such as cholecystectomy, may be a predisposing factor.
Purpose of the Study:
- To report a case of biliary candidiasis.
- To highlight diagnostic findings in a patient with a history of laparoscopic cholecystectomy.
- To contribute to the understanding of rare biliary tract infections.
Main Methods:
- Case presentation of a 71-year-old male.
- Review of laboratory findings including elevated biliary and liver enzymes.
- Imaging studies: abdominal contrast-enhanced computed tomography and endoscopic ultrasonography (EUS).
Main Results:
- Incidental diagnosis of biliary candidiasis.
- Elevated liver function tests and biliary enzyme levels.
- Imaging revealed common bile duct wall thickening.
Conclusions:
- Biliary candidiasis can occur in patients with prior cholecystectomy.
- Elevated liver enzymes and bile duct wall thickening on imaging warrant consideration of fungal infection.
- Further investigation may be needed for unexplained biliary abnormalities post-cholecystectomy.
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