Biliary colic with dilated common bile duct: simple "sheepish" problem?
A 40-year-old man, resident of a rural area of Rajasthan state of India presented with recurrent biliary colic and fever since last 2 years. Examination was normal and investigations revealed a dilated common bile duct with elevated alkaline phosphatase. Magnetic resonance cholangiopancreatography revealed a dilated biliary system without any evident cause. Patient was subjected to endoscopic retrograde cholangioancreatography and it demonstrated biliary dilatation with a linear filling defect in lower common bile duct, further sphinicterotomy was done and a live Fasciola hepatica was extracted using a biliary basket.
Prachis
P
Ashdhir
Shyam Sunder
SS
Sharma
Garima
G
Sharma
D000328:Adult; D000818:Animals; D003085:Colic / Q000209:etiology; D003137:Common Bile Duct Diseases / Q000175:diagnosis / Q000469:parasitology* / Q000628:therapy; D005210:Fasciola hepatica; D005211:Fascioliasis / Q000150:complications / Q000175:diagnosis* / Q000628:therapy; D006801:Humans; D008297:Male