Endoscopic removal of one live biliary Fasciola gigantica.
Biliary fascioliasis was diagnosed in a woman from Angthong province, who presented herself with anorexia, weight loss, and jaundice for one month. Intraoperative retrograded cholangiopancreatography revealed a filling defect considered as a stone and bile sludge. By the sphincterotomy and balloon-extraction technique, one live fluke was removed and identified as Fasciola gigantica. A single dose of praziquantel, 25 mg/kg of body weight/day, was given although the postoperative stool examination revealed no Fasciola spp. egg. The patient was doing well after the fluke removal. According to a previous review, in this country, Ayutthaya is the southernmost province for the distribution of fascioliasis.
Kanoksil
Wasana
W
Department of Pathology, Faculty of Medicine, Ramathibodi Hospital, Mahidol University, Bangkok, Thailand.
Wattanatranon
Duangkamon
D
Wilasrusmee
Chumpon
C
Mingphruedh
Somkit
S
Bunyaratvej
Sukhum
S
D000368:Aged; D000818:Animals; D001660:Biliary Tract Diseases / Q000469:parasitology* / Q000601:surgery*; D003937:Diagnosis, Differential; D005211:Fascioliasis / Q000175:diagnosis* / Q000601:surgery*; D005260:Female; D006801:Humans; D016717:Sphincterotomy, Endoscopic