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. 2025 May 5;12(5):e01700.
doi: 10.14309/crj.0000000000001700. eCollection 2025 May.

A Curious Case of Walking Cholangitis in a Nonendemic Region: Hepatobiliary Fascioliasis

Anupam Kumar Singh  1 , Jahnvi Dhar  2 , Saroj Kant Sinha  1 , Jayanta Samanta  1
Affiliations

A Curious Case of Walking Cholangitis in a Nonendemic Region: Hepatobiliary Fascioliasis

Anupam Kumar Singh et al. ACG Case Rep J. .
No abstract available

Keywords: ERCP; Fasciola hepatica; cholangitis; flat worm; liver abscess.

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Figures

Figure 1.
Figure 1.
(A) Contrast-enhanced computed tomography of the abdomen showed hepatomegaly with multiple small, oval to round, clustered hypodense lesions in both lobes with mildly dilated CBD with hyperdense content in CBD; (B) cholangiogram taken during endoscopic retrograde cholangiopancreatography showed dilated CBD, mild intrahepatic biliary ductal dilatation with a filling defect. CBD, common bile duct.
Figure 2.
Figure 2.
(A, B) Multiple large, flat, leaf-like organisms (flukes) with a pointed anterior end (Fasciola hepatica) extracted after balloon sweep during endoscopic retrograde cholangiopancreatography in the duodenum; (C) repeat contrast-enhanced computed tomography of the abdomen at the 3-month follow-up showed plastic stent in common bile duct with resolving liver abscess.
See this image and copyright information in PMC

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References

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    1. Ha JS, Choi HJ, Moon JH, et al. . Endoscopic extraction of biliary fascioliasis diagnosed using intraductal ultrasonography in a patient with acute cholangitis. Clin Endosc. 2015;48(6):579–82. - PMC - PubMed
    1. Dias LM, Silva R, Viana HL, Palhinhas M, Viana RL. Biliary fascioliasis: Diagnosis, treatment and follow-up by ERCP. Gastrointest Endosc. 1996;43(6):616–20. - PubMed

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