title: Biliary fascioliasis--an uncommon cause of recurrent biliary colics: report of a case and brief review.
abstract: Biliary parasitosis is one of the important causes of biliary obstruction in endemic areas, however due to migration and travel the disease is known to occur in non endemic zones as well. The spectrum of biliary fascioliasis ranges from recurrent biliary colics to acute cholangitis. The long term complications are gall stones, sclerosing cholangitis and biliary cirrhosis. We describe fascioliasis as a cause of recurrent biliary colics in a young male necessitating multiple hospitalizations over a period of four years. Investigative profile had been non-contributory every time he was hospitalized for his abdominal pain prior to the current presentation. He never had cholangitis due to the worm in the common bile duct. It was only at endoscopic retrograde cholangiopancreatography (ERCP) biliary fascioliasis was discovered to be the cause of his recurrent biliary colics. After removal of the live Fasciola hepatica from the common bile duct he became symptom free and is attending our clinic for last 11 months now. Clinical spectrum of biliary fascioliasis is discussed in this report.
authors.affiliation: Division of Gastroenterology & Hepatology, Department of Medicine, King Abdul Aziz Specialist Hospital, Taif, Saudi Arabia.
authors.forename: Hesham
authors.initials: H
authors.lastname: Al Qurashi
authors.forename: Ibrahim
authors.initials: I
authors.lastname: Masoodi
authors.forename: Mohammad
authors.initials: M
authors.lastname: Al Sofiyani
authors.forename: Hisham
authors.initials: H
authors.lastname: Al Musharaf
authors.forename: Mohammed
authors.initials: M
authors.lastname: Shaqhan
authors.forename: Gamal Nasr Ahmed Abdel
authors.initials: GN
authors.lastname: All
mesh_terms: D000328:Adult; D000818:Animals; D000871:Anthelmintics / Q000627:therapeutic use; D001562:Benzimidazoles / Q000627:therapeutic use; D002760:Cholangiopancreatography, Endoscopic Retrograde; D003085:Colic / Q000469:parasitology*; D003137:Common Bile Duct Diseases / Q000175:diagnosis / Q000469:parasitology* / Q000628:therapy; D005211:Fascioliasis / Q000150:complications* / Q000175:diagnosis / Q000628:therapy; D006801:Humans; D008297:Male; D012008:Recurrence; D000077682:Triclabendazole
chemical_list: D000871:Anthelmintics; D001562:Benzimidazoles; D000077682:Triclabendazole