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>Journals >Cirujano General >Year 2002, Issue 3

Nieto OAE, Ibáñez FJR, Coronado MR, García CG, Charco RCA
Fasciola hepatica. Report on one case
Cir Gen 2002; 24 (3)

Language: Español
References: 12
Page: 229-231
PDF: 4. Kb.

Full text


Objective: To describe the case of Fasciola hepatica in Mexico.
Design: Report of a case.
Setting: Private practice.
Description of the case: A man, 44 years old, sheep-breeder, in Milpa Alta, an outskirt of Mexico City. He was admitted to the hospital with abdominal pain of 4 weeks of evolution in the hypochondrium, and jaundice. Laboratory tests revealed: Leukocytes of 7150; eosinophils of 16.4%; total bilirubin of 4.18 mg with direct bilirubin of 3.46, and phosphatase of 72 U. The ultrasound revealed a sclerotic and atrophied gallbladder with dilation of the biliary tract. Based on a diagnosis of obstructive jaundice secondary to a probable choledocholithiasis, he was programmed for cholecystectomy with exam of the biliary tract. During surgery, a dilated biliary tract was found together with four adult Fasciola hepatica in its interior. No calculi were found either in the gallbladder or the biliary tract. The patient received albendazol for 7 days after surgery. A year after, he is asymptomatic, without eosinophilia and negative serological test.
Conclusion: Fascioliasis is a common disease in sheep and cows, highly transmissible to humans. In the presence of marked eosinophilia and jaundice, this disease must be suspected and the adequate diagnosis and corresponding treatment must be established.

Key words: Fasciola hepatica, obstructive jaundice, cholecystectomy.


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>Journals >Cirujano General >Year 2002, Issue 3

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