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
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.
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:
- 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.