title: An unusual case of biliary obstruction caused by Dicrocoelium dentriticum.
abstract: Dicrocoelium dentriticum (D. dentriticum) is a liver fluke induced biliary obstruction. Infection usually occurs in herbivores such as sheep, goats and deer; human infection is very rarely encountered in clinical practice. We report on a 65-y-old female presenting with biliary obstruction caused by D. dentriticum. Following treatment with triclobendazole, her symptoms disappeared, and laboratory values returned to normal range within 6 months. Parasitosis is an important cause of biliary obstruction. We suggest that for patients presenting with biliary obstruction, D. dentriticum should be included in the differential diagnosis.
authors.affiliation: Department of Internal Medicine, Cerrahpasa School of Medicine, Istanbul University, Istanbul, Turkey. ahmetknower@softhome.net
authors.forename: Berrin
authors.initials: B
authors.lastname: Karadag
authors.forename: Ahmet
authors.initials: A
authors.lastname: Bilici
authors.forename: Alper
authors.initials: A
authors.lastname: Doventas
authors.forename: Fatih
authors.initials: F
authors.lastname: Kantarci
authors.forename: Dogan
authors.initials: D
authors.lastname: Selcuk
authors.forename: Nilgun
authors.initials: N
authors.lastname: Dincer
authors.forename: Y Ali
authors.initials: YA
authors.lastname: Oner
authors.forename: Deniz Suna
authors.initials: DS
authors.lastname: Erdincler
mesh_terms: D000368:Aged; D000818:Animals; D001652:Bile Ducts / Q000469:parasitology* / Q000473:pathology; D049448:Cholangiopancreatography, Magnetic Resonance; D001651:Cholestasis, Extrahepatic / Q000000981:diagnostic imaging / Q000469:parasitology*; D004011:Dicrocoeliasis / Q000150:complications* / Q000000981:diagnostic imaging / Q000469:parasitology; D004013:Dicrocoelium / Q000302:isolation & purification*; D005260:Female; D006801:Humans; D011859:Radiography