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Updated: Jun 11, 2026
05:36
Laparoscopic Common Bile Duct Exploration Followed by Primary Suture Using a Modified Bile Duct Incision
Published on: May 2, 2025
[Fascioliasis in the common bile duct: a case report]
1Pingxiang Municipal Center for Disease Control and Prevention, Jiangxi Province, Pingxiang, Jiangxi 337000, China.
Summary
This case study details the diagnosis and treatment of a patient with common bile duct fascioliasis. High-throughput sequencing confirmed the presence of Fasciola hepatica, offering insights for clinical management.
Area of Science:
- Medical Parasitology
- Gastroenterology
- Diagnostic Imaging
Background:
- Fascioliasis is a parasitic disease caused by liver flukes.
- Common bile duct involvement presents with gastrointestinal symptoms.
- Accurate diagnosis is crucial for effective treatment.
Purpose of the Study:
- To report a case of common bile duct fascioliasis.
- To highlight diagnostic and treatment strategies.
- To serve as a clinical reference for similar cases.
Main Methods:
- Clinical presentation and symptom analysis.
- Diagnostic imaging (ultrasound, CT, MRI).
- Endoscopic retrograde cholangiopancreatography (ERCP) and choledochoscopy.
- High-throughput sequencing for parasite identification.
Main Results:
- Patient presented with chronic abdominal pain, distension, nausea, and vomiting.
- Imaging revealed dilated common bile duct and intrahepatic bile ducts.
- ERCP and choledochoscopy successfully collected two worms from the common bile duct.
- High-throughput sequencing identified the worms as Fasciola hepatica.
Conclusions:
- Fascioliasis should be considered in patients with biliary obstruction symptoms.
- ERCP and molecular techniques are valuable for diagnosis.
- Prompt diagnosis and treatment are essential for patient outcomes.
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