Fascioliasis - a cause of obstructive jaundice: a case report

A rare case of obstructive Jaundice in a 35 yrs old male from Afghanistan is presented with recurring attacks of upper abdominal pain and jaundice. Ultrasound examination revealed multiple gallstones with' dilated common bile duct. During exploration of common bile duct, five leaf like liver flukes [Fasciola Hepatica] were recovered and identified. Patient was treated with Albendazole and had an uneventful recovery. Biliary fascioliasis should be considered in the differential diagnosis of obstructive jaundice

Hepatobiliary fascioliasis: Clinical and radiological features

Fascioliasis is a worldwide but unevenly distributed zoonosis caused by the trematode Fasciola hepatica that infects domesticated herbivores. Fasciolosis also occurs accidentally in humans by ingestion of metacercaria-laden freshwater or water plants. Human infections are common in developing countries and are not rare in Europe. The clinical course has been conventionally described in two phases: an acute phase of hepatic parenchymal invasion of an immature worm larva [parenchy-mal phase] and a stationary phase after residence in the bile duct and production of eggs [ductal phase]. We report a 34 years old woman from Ilam, western Iran with hepatic disorder, RUQ pain, and jaundice. The diagnosis was made by sonography, CT scan and serologic studies. Serologic exam [ELISA] was positive and CT findings were compatible with fascioliasis

Clinical, laboratory and ultrasonography features of proven human fascioliasis

The examination of 20 parasitologically proven human cases of fascioliasis showed that both sexes are susceptible to fascioliasis. The smallest one was a child 3-year old. The most important clinical manifestations were abdominal distention and flatulence [30%], right upper quadrant pains [25%], colicky abdominal pains [25%], pallor [25%] and tympanitic abdomen [25%]. Nevertheless, 15% of the patients showed no symptoms. The most significant items in the CBC and liver function tests were significantly high eosinophilia, high alkaline phosphatase and low hemoglobin. Besides, two fascioliasis patients had high serum bilirubin. Ultrasonography diagnosed only nine fascioliasis patients. The result was critically discussed

Human fascioliasis: a field study in Tamya center Fayoum governorate

Seven hundred individuals were examined for fasciola eggs in the stools, 20 [3 percent] of them were found positive, these 20 patients were subjected to clinical examination. Seventeen of them completed the study for whom hematologic, ultrasonographic and serological tests were done. Praziquantel was used for their treatment. Abdominal pain, distension anemia and fever were the main symptoms. Hepatomegaly, splenomegaly and jaundice were observed in 40 percent, 25 percent and 10 percent respectively. Anemia and eosinophilia were the main hematological findings. Ultrasonography demonstrated fasciola worms in the gall bladder and C.B.D., and bile duct thickening and dilatation were observed. ELISA and CCIEP were positive in 82.4 percent and 76.5 percent respectively and when both tests were used, positive results were found in 94 percent. Praziquantel was found ineffective [95 percent failure]