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Case Reports
. 2011 Mar;49(1):65-8.
doi: 10.3347/kjp.2011.49.1.65. Epub 2011 Mar 18.

A case of biliary Fascioliasis by Fasciola gigantica in Turkey

Vedat Goral  1 , Senem Senturk, Omer Mete, Mutallib Cicek, Berat Ebik, Beşir Kaya
Affiliations
Case Reports

A case of biliary Fascioliasis by Fasciola gigantica in Turkey

Vedat Goral et al. Korean J Parasitol. 2011 Mar.

Abstract

A case of Fasciola gigantica-induced biliary obstruction and cholestasis is reported in Turkey. The patient was a 37- year-old woman, and suffered from icterus, ascites, and pain in her right upper abdominal region. A total of 7 living adult flukes were recovered during endoscopic retrograde cholangiopancreatography (ERCP). A single dose of triclabendazole was administered to treat possible remaining worms. She was living in a village of southeast of Anatolia region and had sheeps and cows. She had the history of eating lettuce, mallow, dill, and parsley without washing. This is the first case of fascioliasis which was treated via endoscopic biliary extraction during ERCP in Turkey.

Keywords: Fasciola gigantica; Turkey; bile duct; fascioliasis.

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Figures

Fig. 1
Fig. 1
Endoscopic retrograde cholangiopancreatography (ERCP) findings of the patient, footprints of parasites.
Fig. 2
Fig. 2
Fasciola gigantica (A, alcohol-fixed worms; B, a whole worm) recovered during ERCP of the patient.
Fig. 3
Fig. 3
Low (A, ×100) and dry high power (B, ×400) views of F. gigantica eggs.
See this image and copyright information in PMC

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