E-ISSN 2146-3077
Case Report
Cholestasis Caused by Fasciola gigantica
1 Department of Gastroenterology, Dicle University Faculty of Medicine, Diyarbakır, Turkey  
2 Department of Medical Microbiology, Dicle University Faculty of Medicine, Diyarbakır, Turkey  
Turkiye Parazitol Derg 2014; 38: 201-204
DOI: 10.5152/tpd.2014.3212
Key Words: Fasciola gigantica, biliary obstruction, ERCP

Fascioliasis is an infectious disease caused by the hepatic trematodes Fasciola hepatica and Fasciola gigantica. Here, we report the case of Fasciola gigantica presenting with biliary obstruction and abdominal pain that was diagnosed and treated by endoscopic retrograde cholangiography (ERCP). A 46-year-old woman presented with right upper quadrant abdominal pain and jaundice. Physical examination revealed icterus and hepatomegaly. Laboratory findings revealed an increase in liver transaminases and bilirubin. Abdominal ultrasonography showed extrahepatic and intrahepatic bile duct dilatation. The patient underwent ERCP. One live Fasciola gigantica was removed from the common bile duct by ERCP. In conclusion, fascioliasis should be considered in the differential diagnosis of obstructive jaundice, especially in endemic regions, and it should be kept in mind that ERCP plays an important role in the diagnosis and treatment of these patients. To our knowledge, this is the second case report of Fasciola gigantica treated by ERCP in Turkey. 

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