2007, Number 1
Med Sur 2007; 14 (1)
Vázquez-Elizondo G, Zavala-García C, Elizondo J, Lizardi-Cervera J
PDF size: 178.37 Kb.
ABSTRACTBackground: Fascioliasis is a parasitic infection due to Fasciola hepatica transmitted by eating contaminated vegetables. It’s an endemic infection in Latin America and in Mexico approximately 100 cases have been reported. Objective: To present a case a patient with biliard Fasciolasis and to discuss the main characteristics of this entity. Case report: 76 year old female patient, born at Malinalco had in 1985 a choledocal duct stenosis in a «mouse tail» appearance. Surgical exploration of the biliary tree was performed and a catheter was placed for its derivation. In may 2000 the patient referred again abdominal pain complaint, associated to nausea, vomiting and constipation. A CT Scan was obtained and showed choledocal dilatation with filling defects. Physical exam was unremarkable. An Endoscopic Retrograde Cholangiography (ERCP) was obtained and showed dilatation of the biliary tree whit a defect in a leaf-shaped form. Laboratory workup revealed a cholestatic pattern and mild transaminase elevation. A Dormia basket was used to extract a leaf-shaped parasite, morphologically compatible with Fasciola hepatica.