1/18. US-guided gallbladder aspiration: a new diagnostic method for biliary fascioliasis.fasciola hepatica is a trematode which is found worldwide. The diagnosis is usually delayed because the disease is relatively rare and the parasite or its eggs must be shown in bile samples for verification. We report three cases in which the diagnosis of fascioliasis was established by simple US-guided aspiration of the gallbladder. This new diagnostic method is less invasive, safe, and easy compared with the conventional endoscopic methods.- - - - - - - - - - ranking = 1keywords = bile (Clic here for more details about this article) |
2/18. Conservative management of biliary obstruction due to fasciola hepatica.We report a case of temporary biliary obstruction due to fascioliasis. This case report shows that in Central europe, fascioliasis is one of the differential diagnoses of abdominal pain, especially if it is associated with eosinophilia. Successful medical treatment is possible even with obstruction of the bile duct.- - - - - - - - - - ranking = 9.2898566664583keywords = bile duct, bile, duct, obstruction (Clic here for more details about this article) |
3/18. Obstruction of common bile duct caused by liver fluke--fasciola hepatica.Three cases of obstruction of the common bile duct by fasciola hepatica with two of the patients presenting jaundice are reported. The authors have reviewed several publications concerning common bile duct obstruction by liver fluke, a quite rare complication of fascioliasis. Only nineteen cases of common bile duct obstruction caused by fasciola hepatica have been reported in a review of medical publications during last ten years. Clinical presentation, diagnostic methods and considerations, types of surgery are fairly uniform in all of the reported cases. Almost all of patients reviewed, had the history, symptoms and signs characteristic for cholelithiasis including recurrent colic pain in right hypochondriac area, fever or subfebrile temperature, fluctuating or stabile jaundice, and palpable painful gallbladder. The laboratory findings in all cases reviewed had shown leucocytosis, eosinophilia, high or slight elevated serum bilirubin. Echographically commonly revealed dilated intra- and extrahepatic bile ducts containing one or more hyperechogenic elements with or without casting an acoustic shadow. All patients underwent open surgery, comprised with choledochotomy and if possible extraction of the fluke. Only two postoperative cases were of necessity followed by ERCP. In all of our cases the primary pre-operative diagnosis was choledocholithiasis, with diagnose of fascioliasis established at the operation. According to the literature this uncertainty in diagnosis is common because of difficulties in differentiation of fascioliasis versus choledocholithiasis. Considerations for making the differential diagnosis--a history of origin or visiting in endemic area of infection, history of eating of aquatic vegetables, laboratory findings including eosinophilia, fasciola eggs in stool, sonography and radiological imaging results and enzyme-linked immunosorbent essay (ELISA) which has been shown to be rapid, sensitive and quantitative. In all three cases we have observed intraoperative significant signs for liver fascioliasis to include surface scarring of the left lobe on the liver--tracks caused by subcapsular migration and location of the hepatic lesions (these findings were also seen by two authors in literature) with resemblance to Japanese letters. The most effective drug for treatment of fascioliasis according to our experience and literature reviewed is bithionol.- - - - - - - - - - ranking = 67.366831509561keywords = bile duct, bile, duct, obstruction (Clic here for more details about this article) |
4/18. Percutaneous biliary drainage: an alternative treatment for biliary fascioliasis.fascioliasis initially involves the liver parenchyma and then the biliary ducts. The disease can mimic most hepatobiliary diseases at different stages of involvement. We report a case in which the final diagnosis was reached by microscopic demonstration of fasciola hepatica eggs in bile obtained by percutaneous transhepatic biliary drainage. Computed tomographic findings that were misinterpreted as metastatic liver disease are presented, and the roles of percutaneous transhepatic cholangiography and biliary drainage are discussed.- - - - - - - - - - ranking = 1.266802131002keywords = bile, duct (Clic here for more details about this article) |
5/18. Biliary fascioliasis: case report and review of the literature.Hepatobiliary parasitic diseases are rare in lebanon. We recently encountered biliary fascioliasis in a Lebanese native. The clinical and laboratory findings were nonspecific. The biliary parasite (fasciola hepatica) was identified by sonography and confirmed at ERCP that has retrieved the parasite from the common bile duct.- - - - - - - - - - ranking = 8.2295870901776keywords = bile duct, bile, duct (Clic here for more details about this article) |
6/18. Endoscopic extraction of living fasciola hepatica: case report and literature review.fasciola hepatica infestation is known to cause bile duct inflammation and biliary obstruction. Endoscopic retrograde cholangiopancreatography shows distinct features in some patients with fascioliasis, but the condition may be overlooked in chronic cases. The endoscopic retrograde cholangiopancreatograpy images must be carefully examined to rule out other possible causes of irregularity and thickening of the common bile duct wall. Parasite removal during endoscopic retrograde cholangiopancreatograpy is one therapeutic option in patients with acute obstructive cholangitis due to F. hepatica. We present a case of fascioliasis-induced acute cholangitis that was diagnosed and treated via endoscopy. A review of the literature on extraction of living parasites is also included.- - - - - - - - - - ranking = 16.635885776402keywords = bile duct, bile, duct, obstruction (Clic here for more details about this article) |
7/18. coinfection of chronic hepatitis B and fasciolosis.Chronic hepatitis B and fasciolosis are associated with the induction of T-cell responses polarized to the Th2 subtype. interferon-alpha enhances innate immunity as well as Th1 immune response. We present a male patient with chronic hepatitis B and fasciolosis who responded to chronic hepatitis treatment with hepatitis b virus (HBV) vaccine, interferon-alpha-2b and lamivudine.- - - - - - - - - - ranking = 0.26680213100198keywords = duct (Clic here for more details about this article) |
8/18. fascioliasis: an exceptional cause of acute pancreatitis.CONTEXT: fasciola hepatica is known to cause bile duct inflammation and biliary obstruction but is rarely reported as responsible for producing acute pancreatitis. CASE REPORT: We report on a patient complaining of acute pancreatitis. Endoscopic retrograde cholangio-pancreatography showed distinct features and sphincterotomy allowed extraction of multiple parasites. CONCLUSIONS: pancreatitis may occur in some patients with fascioliasis, but the condition may be overlooked in chronic cases. Endoscopic retrograde cholangio-pancreatography rule out other possible causes of irregularity and thickening of the common bile duct wall. Parasite removal during endoscopic retrograde cholangio-pancreatography is one therapeutic option. Hepatic involvement must be ruled out and complete pharmacological treatment is advised in this patient.- - - - - - - - - - ranking = 16.635885776402keywords = bile duct, bile, duct, obstruction (Clic here for more details about this article) |
9/18. Ectopic fascioliasis in the dorsal spine: case report.OBJECTIVE: Parasitic myelopathy is rare. We report ectopic infestation of the spine by fasciola hepatica. CLINICAL PRESENTATION: A young woman presented with gradual onset paraplegia with bladder and bowel involvement. A magnetic resonance imaging scan showed an epidural mass lesion that was isotense on T1-weighted images and hyperintense on T2-weighted images, extending from T4-T7 vertebra with extradural cord compression. She was diagnosed with cord compression, possibly owing to tubercular epidural granulation tissue. INTERVENTION: During surgery, a mobile, flat, leaf-like, pink parasite was found in the epidural space. Morphological and histological indices confirmed the parasite as fasciola hepatica. CONCLUSION: Ectopic spinal localization of Fasciola may occur during the transmigration path of the parasite through peritoneum or from the liver through portal venous system.- - - - - - - - - - ranking = 1keywords = bile (Clic here for more details about this article) |
10/18. Therapeutic endoscopic retrograde cholangiopancreatography for the treatment of fasciola hepatica presenting as biliary obstruction.Human infection with the fasciola hepatica liver fluke is a rare cause of biliary obstruction, especially within the united states. humans can become accidental hosts of this parasite by ingesting contaminated drinking water or plants. Symptoms during the acute phase include fever, right upper quadrant pain, eosinophilia, and hepatomegaly. During the chronic stage of infection, the parasite may remain asymptomatic for many years. This article presents a case of biliary obstruction due to fasciola hepatica that was diagnosed and treated successfully with endoscopic retrograde cholangiopancreatography.- - - - - - - - - - ranking = 1.0602695762807keywords = obstruction (Clic here for more details about this article) |
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