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Related Experiment Videos

[Cholestasis caused by Fasciola hepatica]

M Alvarez1, G Basterra, M Moretó

  • 1Sección de Aparato Digestivo, Hospital de Txagorritxu, Vitoria-Gasteiz.

Revista Espanola De Enfermedades Digestivas
|December 1, 1994
PubMed
Summary

Human Fasciola hepatica infestation can cause biliary obstruction and cholestasis. This case highlights successful treatment of fascioliasis with Bithionol, resolving parasitic infection and biliary issues.

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Area of Science:

  • Hepatobiliary Medicine
  • Parasitology
  • Gastroenterology

Background:

  • Human Fasciola hepatica infestation is uncommon.
  • Parasitic obstruction of the common bile duct leading to cholestasis is a rare complication.

Observation:

  • A 56-year-old male presented with biliary colic and cholestasis.
  • Diagnosis of fascioliasis was confirmed via indirect hemagglutination test, ultrasound, and ERCP showing Fasciola hepatica in the biliary tract.

Findings:

  • The patient experienced an acute pancreatic reaction during endoscopic retrograde cholangiopancreatography (ERCP)-guided sphincterotomy.
  • Medical treatment with Bithionol effectively eliminated both the parasitic infection and cholestasis.

Implications:

Related Experiment Videos

  • This case underscores the importance of considering fascioliasis in patients with biliary obstruction.
  • Successful management with Bithionol demonstrates its efficacy in treating human fascioliasis.
  • ERCP is crucial for diagnosis and can reveal complications like pancreatitis during procedures.