title: Endoscopic removal of one live biliary Fasciola gigantica.
abstract: 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.
authors.affiliation: Department of Pathology, Faculty of Medicine, Ramathibodi Hospital, Mahidol University, Bangkok, Thailand.
authors.forename: Wasana
authors.initials: W
authors.lastname: Kanoksil
authors.forename: Duangkamon
authors.initials: D
authors.lastname: Wattanatranon
authors.forename: Chumpon
authors.initials: C
authors.lastname: Wilasrusmee
authors.forename: Somkit
authors.initials: S
authors.lastname: Mingphruedh
authors.forename: Sukhum
authors.initials: S
authors.lastname: Bunyaratvej
mesh_terms: 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