An unusual case of biliary obstruction caused by Dicrocoelium dentriticum.
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.
Karadag
Berrin
B
Department of Internal Medicine, Cerrahpasa School of Medicine, Istanbul University, Istanbul, Turkey. ahmetknower@softhome.net
Bilici
Ahmet
A
Doventas
Alper
A
Kantarci
Fatih
F
Selcuk
Dogan
D
Dincer
Nilgun
N
Oner
Y Ali
YA
Erdincler
Deniz Suna
DS
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