Vázquez-Elizondo G, Zavala-García C, Elizondo J, Lizardi-Cervera J

Language: Spanish
References: 10
Page: 26-30
PDF size: 178.37 Kb.

ABSTRACT

Background: 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.

REFERENCES

1. Carrada-Bravo T. Fascioliasis: diagnosis, epidemiology and treatment. Rev Gastroenterol Mex 2003; 68:135-42.

2. Mas-Coma S. Epidemiology of fascioliasis in human endemic areas. J Helminthol 2005; 79: 207.

3. Haseeb AN, el-Shazly AM, Arafa MA, Morsy AT. A review on fascioliasis in Egypt. J Egypt Soc Parasitol 2002; 32: 317.

4. Roig GV. Hepatic fascioliasis in the Americas: a new challenge for therapeutic endoscopy. Gastrointest Endosc 2002: 56:315-7.

5. Adachi S, Kotani K, Shimizu T et al. Asymptomatic fascioliasis. Intern Med 2005; 44: 1013.

6. Hillyer GV, Serrano AE. Fractionation of Fasciola hepatica tegument antigens and their application to the serodiagnosis of experimental fascioliasis by the enzyme-linked immunosorbent assay. J Helminthol 1986; 60: 173-8.

7. Sezgin O, Altintas E, Disibeyaz S et al. Hepatobiliary fascioliasis: clinical and radiologic features and endoscopic management. J Clin Gastroenterol 2004; 38: 285.

8. Kim JC. Fasciola hepatica in the common bile duct. Gastrointest Endosc 2006; 63: 501.

9. Cheung J. Biliary fascioliasis. Gastrointest Endosc 2005; 61: 596-7.

10. Keiser J, Utzinger J. Chemotherapy for major food-borne trematodes: a review. Expert Opin Pharmacother 2004; 5: 1711.