Open AccessAcute biliary obstruction with cholestasis caused by Fasciola hepatica in a patient travelled to Turcmenistan (a case report and literature review)
Author(s) -
A. M Bronshteyn,
Бронштейн Александр Маркович,
Н А Малышев,
Малышев Н. А,
L. V Fedianina,
Федянина Лидия Васильевна,
И. В. Давыдова,
Давыдова Ирина Владимировна
Publication year - 2016
Publication title -
èpidemiologiâ i infekcionnye bolezni
Language(s) - English
Resource type - Journals
eISSN - 2411-3026
pISSN - 1560-9529
DOI - 10.17816/eid40904
Subject(s) - fasciola hepatica , triclabendazole , cholestasis , jaundice , hepatica , medicine , cholangiography , fasciola , differential diagnosis , gastroenterology , magnetic resonance imaging , antiparasitic agent , radiology , general surgery , pathology , helminths , veterinary medicine , immunology
The paper describes the case of Fasciola hepatica in patient from Turkmenistan presenting with icterus, biliary-type pain, dark urine and jaundice. Magnetic resonance (MRC) and endoscopic retrograde cholangiography (ERC) were performed and after sphincterotomy one Fasciola hepatica was extracted. After the ERC antiparasitic treatment was given with triclabendazole. Clinical outcome was favourable. In conclusion, fascioliasis should be considered in the differential diagnosis of obstructive jaundice, especially in patients travelled to endemic regions, and it should be kept in mind that ERC and triclabendazole play an important role in the diagnosis and treatment of these patients. To our knowledge, this is the first case report of Fasciola hepatica treated by ERC in Russia.