title: Fascioliasis: an exceptional cause of acute pancreatitis.
abstract: BACKGROUND
  Fasciola hepatica is known to cause bile duct inflammation and biliary obstruction but is rarely reported as responsible for producing acute pancreatitis.
  
  
  METHODS
  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.
authors.affiliation: Department of Surgery, Basque Country University School of Medicine, San Sebastián, Spain. gepecelm@sc.ehu.es
authors.forename: Miguel
authors.initials: M
authors.lastname: Echenique-Elizondo
authors.forename: José
authors.initials: J
authors.lastname: Amondarain
authors.forename: Carlos
authors.initials: C
authors.lastname: Lirón de Robles
mesh_terms: D000208:Acute Disease; D000328:Adult; D005211:Fascioliasis; D005260:Female; D006801:Humans; D010195:Pancreatitis / Q000469:parasitology*