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KMID : 0614620140640050298
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Korean Journal of Gastroenterology
2014 Volume.64 No. 5 p.298 ~ p.301
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A Case of Fascioliasis in the Intrahepatic Duct with Concurrent Clonochiasis
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Kim Seung-Hyun
Jung Chang-Kil
Her Jin
Hur Ki-Hwan
Choi Jae-Hyuc
Kang Kee-Hoon
Hwang Chan-Hee
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Abstract
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The main causes of biliary obstruction are stones and cancers. Fascioliasis is a very rare case which causes biliary obstruction. Fascioliasis is a zoonosis caused by Fasciola hepatica which infects herbivores like sheep and cattle. F. hepatica lives in the biliary system or the liver parenchyma of a host. In Korea, the occurrence of this infection in human is very rare and only few cases have been reported. A 32-year-old male presented with upper abdominal pain and jaundice. His laboratory finding revealed elevated liver transaminases. Abdomen CT scan showed mild left intrahepatic bile duct dilatation. On ERCP, adult F. hepatica worms were found and were thus removed. Concurrently, clonorchiasis was diagnosed by stool exam and serologic enzyme-linked immunosorbent assay test. Clonorchiasis was treated with praziquantel. Herein, we report a case of intrahepatic bile duct dilatation due to F. hepatica infection with concurrent Clonorchis sinensis infestation.
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KEYWORD
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Fascioliasis, Clonorchiasis, Endoscopic retrograde cholangiopancreatography, Intrahepatic bile duct
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