RESUMEN
The biliary pathology, is undoubtedly one of the most frequent surgical pathologies in Chile, statistical data establish the incidence of biliary pathology in over 20 years 30% of women have biliary lithiasis, of these 10% will present some complication as it is coledocolithiasis. On the other hand, hepatic fascioliasis or dystomatosis is a disease caused by hepatic fasciola, or duela, sabuaypé or Distomun hepaticum, corresponds to a flatworm, trematode of the digenea class, with affinity to stay in liver tissue, which when performing the biological cycle of the parasite can be the cause of choledocholithiasis, cholecystitis, cholangitis, pancreatitis, among others. We present a clinical case of chronic intracholedocianfasciolitis diagnosed by ERCP3,4. METHODS: Descriptive observational study, in addition to a systematic review in databases such as Pub-Med/MEDLINE, Elsevier, Cochrane and manually through the Internet in journals and public bodies. This work seeks to collect information from different authors regarding its incidence, management and established treatments. RESULTS: Inclusion and exclusion criteria were defined to analyze the characteristics of the selected articles. We present the clinical case of a 47-year-old female patient, with a history of hypertension, type 2 diabetes mellitus and egg allergy who went to the Emergency Department due to a picture characterized by epigastralgia of 3 days of evolution. During endoscopic retrograde cholangio-pancreatography (ERCP), 2 suggestive images of lyte are seen inside that finally result in 2 apparent live parasites.
Asunto(s)
Humanos , Femenino , Persona de Mediana Edad , Enfermedades del Conducto Colédoco/parasitología , Enfermedades del Conducto Colédoco/diagnóstico por imagen , Endosonografía/métodos , Fascioliasis/diagnóstico por imagen , Colangiopancreatografia Retrógrada Endoscópica/métodos , Enfermedades del Conducto Colédoco/tratamiento farmacológico , Técnicas de Laboratorio Clínico , Fasciola hepatica , Fascioliasis/tratamiento farmacológicoRESUMEN
A 42 year old man presented with obstructive jaundice and cholangits. Ultrasonography (USG) revealed dilated intrahepatic biliary radicals and common bile duct (CBD). The bile duct also showed a curvilinear parallel intraluminal structure suggesting biliary ascariasis. The CBD was explored and a dead worm removed but jaundice persisted. Endoscopic retrograde cholangio pancreaticography (ERCP) was done showing a periampullary mass which on biopsy showed a villous adenoma with highly dysplastic changes. A Whipple's pancreaticoduodenectomy was performed and the growth proved to be a well differentiated periampullary adenocarcinoma.
Asunto(s)
Adulto , Ampolla Hepatopancreática/cirugía , Ascariasis/complicaciones , Enfermedades del Conducto Colédoco/parasitología , Neoplasias del Conducto Colédoco/parasitología , Humanos , MasculinoRESUMEN
We report a case of a 23 year old woman who presented with symptoms of biliary tract disease to our University Hospital in Bayamón, Puerto Rico. A diagnosis of chronic cholelithiasis was made and the patient was taken at surgery. An adult Fasciola hepática was recovered from the common bile duct. We review the pathobiology of this uncommon zoonosis
Asunto(s)
Adulto , Animales , Humanos , Masculino , Femenino , Colelitiasis/parasitología , Enfermedades del Conducto Colédoco/parasitología , Fascioliasis/patología , Colelitiasis/cirugía , Colelitiasis/patología , Enfermedades del Conducto Colédoco/patologíaRESUMEN
Os autores apresentam um caso de áscaris na via biliar, causando obstruçäo ao nível da papila com dilataçäo coledociana e icterícia que foi tratada cirurgicamente. Aproximadamente 20 meses após a paciente foi reoperada por reinfestaçäo da árvore biliar, desta vez com dois vermes. Discute-se o problema, apresenta-se o tratamento realizado e é feita uma revisäo de literatura, concluindo-se que de nada adiantará tratamentos para doença se näo houver uma melhora nas condiçöes higieno dietéticas do paciente