Endoscopic management of biliary fasciolosis

Özet

Fasciola hepatica Türkiye de endemik bir parazittir. Yaprak solucanlar ailesinden olan bu parazitgenellikle keçi, koyun, sığır gibi evcil hayvanlarda görülür. İnsan da ise sporadiktir. Biliyerfasciola hepatica nadir bir durumdur. Hepatik ve biliyer evrelere sahiptir. Akut fasyoliyazdasemptomlar ateş, sağ üst kadran ağrısı, eozinofili, ve hepatomegalidir. Enfeksiyonun kronikevresinde parazit yıllarca asemptomatik kalabilir. Bu makalede, şiddetli karın ağrısı atakları,bulantı ve kusma şikayetleri ile hastanemize başvurup, endoskopik retrogradkolanjiopankreatografi tetkiki ile tesadüfen biliyer fasyoliyaz tanısı alan bir olgu sunulmuştur.

Abstract

Fasciola hepatica is an endemic parasite in Turkey that belongs to the flatworm family. Thisparasite is seen commonly among domestic animals (such as goats, sheep, and cattle) and issporadic in human. Biliary fascioliasis is a rare condition. It has a hepatic and a biliary stage.Symptoms during the acute phase include fever, right upper quadrant pain, eosinophilia, andhepatomegaly. The parasite may remain asymptomatic for many years in chronic stage of theinfection. Here we present a case of biliary fascioliasis who was admitted to the hospital withepisodes of severe abdominal pain, nausea and vomiting and was accidentally diagnosed byendoscopic retrograde cholangiopancreatography.