Fascioliasis observed during laparoscopic cholecystectomy

Bengisun, Uĝur; Özbaş, Serdar; Sarioglu, U.

doi:10.1007/s004230050179

Cited by 8 publications

(4 citation statements)

References 14 publications

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“…In countries like Turkey where serologic tests were not routinely used, F. hepatica infection was diagnosed with obstruction of the extrahepatic bile ducts, biliary colic, jaundice and cholangitis [14,15].…”

Section: Discussionmentioning

confidence: 99%

Fascioliasis in Eosinophilic Patients in the Isparta Region of Turkey

Demırcı¹,

Korkmaz

Kaya³

et al. 2003

Infection

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Section: Discussionmentioning

confidence: 99%

Fascioliasis in Eosinophilic Patients in the Isparta Region of Turkey

Demırcı¹,

Korkmaz

Kaya³

et al. 2003

Infection

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“…Im akuten Stadium ist von den Laborwerten eine Eosinophilie bis zu 80 % am auffälligsten [1]. Zusätzlich liegen oft eine geringe Erhöhung der Leberenzyme, der Cholestaseparameter und des IgE-Spiegels vor [6,8,12]. Nach drei Monaten geht die Eosinophilie zurück und ist nicht selten nach einigen Monaten ganz verschwunden [4].…”

Section: Der Lebenszyklus Des Egels Beginnt Wenn Eier Aus Dem Stuhl Desunclassified

Fasciola hepatica als Ursache einer LeberwerterhÃ¶hung mit Eosinophilie - serologische und endoskopische Diagnostik und Therapie

Christmann

Henrich²,

Mayer³

et al. 2002

Z Gastroenterol

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A 36 year old man was diagnosed with eosinophilia and elevated liver-enzyme levels in a preoperative routine laboratory testing. In the course of the evaluation we found high levels of Fasciola hepatica specific antibodies which lead to an ERC with biliary aspiration after choleretic stimulation. The bile showed Fasciola eggs and subsequently we recovered a parasite from the bile duct. Abdominal CT- and MRI-Scans showed lesions of the liver consistent with hepatic fascioliasis. Focussed patient's history revealed ingestion of contaminated watercress in Turkey as the most likely source of infection. For patients with elevated liver-enzymes of unknown etiology with eosinophilia or in combination with a congruent patient's history even without eosinophilia serologic studies of Fasciola hepatica seem to be advisable. We suggest an ERC with biliary aspiration to prove the diagnosis in case of positive results, if the prepatency period of 4 months after the ingestion is over. Fasciola hepatica is rarely diagnosed in Germany probably due to the lack of awareness of the disease.

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“…30 hastanın incelendiği bir seride hastaların 24'ü kadın, yaş ortalaması 42,6, 22'si (%73) hepatik fazda, 5 tanesi biliyer fazda, 3 tanesi akut pankreatit ile saptanmıştır (7). FH hastaları pankreasta kitle, asit, asemptomatik hastada laparoskopik karaciğer biyopsisi ile ve kraniyal tutulum gibi değişik klinik prezantasyonlarla da görülebilmektedir (11)(12)(13)(14)(15). Hastamız 34 yaşında, kadın idi, başlangıçta hepatik fazda yakalanmış, medikal tedavi verilmiş; bize müracaat ettiğinde ise biliyer fazda idi ve hastaya bu safhada ERCP yapılarak safra yolları temizlendi.…”

Section: Introductionunclassified

Hepatik kitle ile prezente olan, ERCP ile ekstraksiyonu yapılan Fasciola hepatica: olgu sunumu ve literatürün gözden geçirilmesi

Uyanıkoğlu¹,

Demır²,

Akyüz³

et al. 2015

Endoskopi Gastrointestinal

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Presentation with hepatic mass and ERCP extraction of Fasciola hepatica: A case report and review of the literature Fasciola hepatica infeksiyonu ülkemizin bazı bölgelerinde endemik olarak rastlanan bir karaciğer trematodudur. Klinik bulgular nonspesifik olup; karın ağrısı, sağ üst kadranda hassasiyet şeklinde olabilir. Laboratuvarda eozinofili, karaciğer enzimlerinin yükselmesi, pozitif seroloji görülür. Görüntüleme yöntemlerinde karaciğerde çok sayıda nodüller ve safra yollarında dilatasyon görülür. Triclabendazol hepatik ve biliyer fazda etkilidir. Endoskopik retrograd kolanjiopankreatografi ile canlı Fasciola hepaticaların biliyer kanaldan uzaklaştırılması ile de tedavi edilir. Burada karaciğerde kitle nedeniyle tetkik edilen, safra yollarında dilatasyona neden olan ve endoskopik retrograd kolanjiopankreatografi ile tedavi edilen fasciola hepaticalı genç bayan olgusu sunulmuştur. Anahtar kelimeler: Fasciola hepatica, eozinofiliFasciola hepatica is a liver trematode that is endemic in some parts of Turkey. Clinical findings are nonspecific, such as abdominal pain and right upper quadrant tenderness. Eosinophilia, elevated liver enzymes and positive serology can be detected in laboratory investigations, while multiple nodules in the liver and dilated bile ducts can be seen in imaging modalities. Triclabendazole is effective in the hepatic and biliary phases. Fasciola hepatica is also treated with endoscopic retrograde cholangiopancreatography by biliary duct removal. Herein, we present a young woman who was evaluated with a mass in the liver and biliary tract dilatation caused by Fasciola hepatica and who was treated with endoscopic retrograde cholangiopancreatography.

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Fascioliasis observed during laparoscopic cholecystectomy

Cited by 8 publications

References 14 publications

Fascioliasis in Eosinophilic Patients in the Isparta Region of Turkey

Fascioliasis in Eosinophilic Patients in the Isparta Region of Turkey

Fasciola hepatica als Ursache einer LeberwerterhÃ¶hung mit Eosinophilie - serologische und endoskopische Diagnostik und Therapie

Hepatik kitle ile prezente olan, ERCP ile ekstraksiyonu yapılan Fasciola hepatica: olgu sunumu ve literatürün gözden geçirilmesi

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