Case Report

Acute Cholangitis and Pancreatitis Caused By Fasciola Hepatica: A Case Report

  • Seyfi Emir
  • Mehmet Fatih Yazar
  • Selim Sözen
  • Hasan Baki Altınsoy
  • Hacı Taner Bulut
  • Zeynep Özkan

Received Date: Accepted Date: 30.05.2012 Meandros Med Dent J 2013;14(3):27-29

Fasciola hepatica is an endemic parasite in Turkey. This parasite usually infests cattle and sheep. People can become a host of this parasite by ingesting contaminated water and plants in endemic areas. Chronic Fasciola hepatica infestation is known to cause biliary obstruction and inflammation. Also, biliary fasciolosis may be asymptomatic. ERCP plays an important role in the diagnosis of the disease and can be used safely in these cases. Especially in cases that could not be diagnosed by conventional methods, parasitic infestations such as Fasciola hepatica should be kept in mind, in endemic areas. We report a case of a 37-year-old lady with obstructive jaundice secondary to biliary obstruction with Fasciola hepatica. Our patient admitted to the emergency unit with the compliants, nausea, vomiting, abdominal pain and jaundice. An ERCP recommended because of acute cholangeitis and pancreatitis. ERCP coluldn't performed effectively, so the case operated, and cholecystectomy and choledoc exploration performed. In the operation, the parasites removed from the gall bladder and common bile duct. Our patient discharged after hospital care postoperatively without any complication.

Keywords: Fasciola hepatica, biliary system, ERCP